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D/B/A GENOA MEDICAL CLINIC
NPI 1013939602
General Practice in Genoa, IL

Active since July 24, 2006
109 S GENOA ST, GENOA, IL 60135(815) 784-5188(815) 784-5189 Get Directions Write a Review

NPPES record last updated: December 10, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About D/b/a Genoa Medical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

D/B/A GENOA MEDICAL CLINIC (NPI 1013939602) is a healthcare organization registered as a general practice in Genoa, Illinois and active in the NPI registry since July 2006. The organization lists Steven J Disanti, President, as its authorized official.

NPPES Registry Identity

NPI1013939602
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameSTEVEN J. DISANTI D.O. S.C.
Location Address109 S GENOA STGenoa, IL 60135-1120
Mailing Address109 S Genoa StGenoa, IL 60135-1120 · (815) 784-5188 · Fax (815) 784-5189
Phone(815) 784-5188
Fax(815) 784-5189
Organization SubpartNo
Authorized OfficialSteven J DisantiPresident · (815) 784-5188
Enumeration DateJuly 24, 2006
Last NPPES UpdateDecember 10, 2007
✔ NPI 1013939602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedFamily MedicineTaxonomy 207Q00000X
109 S GENOA ST, Genoa, IL 60135
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Other Names 1

Doing Business AsD/b/a Genoa Medical Clinic

Other Identifiers 2

Medicare ID-Type Unspecified724210IL
Medicare UPINC42656IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Steven J. Disanti D.O. S.C.'s NPI number?

The NPI number for Steven J. Disanti D.O. S.C. is 1013939602. It was assigned to this organization in the NPPES registry on July 24, 2006. The provider is doing business as D/B/A Genoa Medical Clinic.

Where is Steven J. Disanti D.O. S.C. located?

Steven J. Disanti D.O. S.C. is located at 109 S Genoa St, Genoa, IL 60135. The listed phone number is (815) 784-5188.

What is Steven J. Disanti D.O. S.C.'s specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Steven J. Disanti D.O. S.C. was last updated on December 10, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.