Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. STEVEN J DISANTI, DO
Active Sole ProprietorDR. STEVEN J DISANTI, DO is a General Practice healthcare provider located in GENOA, Illinois. NPI 1578582474 is currently active in the NPPES registry. Verify at CMS.
General Practice · GENOA, IL
Registration Details
- NPI Number
- 1578582474
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 19, 2006 (20.046559847213 yrs)
- Last Updated
- Jan 16, 2024
- License
-
036067911 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
109 SOUTH GENOA STREETGENOA MEDICAL CLINICGENOA, IL, 60135Browse IL providers · Browse ZIP 60135
- Phone
- 8157845188
- Primary Specialty
-
General Practice
208D00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.