Organization · Type 2 NPI
Serendestiny Enterprise LLC
Clinical Genetics (M.D.) Physician · Naperville, IL
NPI number
1043474893
Active
Practice location
3555 Vanilla Grass Dr
Naperville, IL 60564-8331
Fax (630) 922-3923
Mailing address
355 Vanilla Grass Drive
Naperville, IL 60564-8331
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Genetics (M.D.) Physician Primary | 207SG0201X | 036055400 (IL) |
Clinical Genetics (M.D.) Physician: A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.
About NPI 1043474893
Serendestiny Enterprise LLC's National Provider Identifier is 1043474893, issued on Jul 10, 2008. The primary taxonomy on file is Clinical Genetics (M.D.) Physician (207SG0201X), and the practice location is in Naperville, IL. The record was last updated on Jul 10, 2008.