NPI 1043474893

Serendestiny Enterprise LLC

Organisation Clinical Genetics (M.D.) Physician Naperville, IL

Practice location

Address: 3555 Vanilla Grass Dr, Naperville, IL 60564-8331
Phone: (630) 922-3922
Fax: (630) 922-3923
Mailing address: 355 Vanilla Grass Drive, Naperville, IL 60564-8331

Authorised official

Name: Lydia Dizon Jazmines
Title: President
Phone: (630) 922-3922

Registered specialties

Clinical Genetics (M.D.) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207SG0201X Licence 036055400 (IL)

Other Medical Genetics providers in Illinois →

Registry record

NPI: 1043474893
Entity type: Organization
NPI issued: 10 Jul 2008
Record last updated: 10 Jul 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.