Individual provider · Type 1 NPI
Makenzie Diserio
Physician Assistant · Dekalb, IL
Practice location
1212 S 2nd St
Dekalb, IL 60115-4435
Fax (702) 977-1496
Mailing address
PO Box 74008272
Chicago, IL 60674-8272
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant Primary | 363A00000X | 085.009196 (IL) |
Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…
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About NPI 1679146302
Makenzie Diserio's National Provider Identifier is 1679146302, issued on Jul 20, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Dekalb, IL. The record was last updated on Oct 10, 2025.