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SERENDESTINY ENTERPRISE LLC
NPI 1043474893
Medical Genetics - Clinical Genetics (M.D.) in Naperville, IL

Active since July 10, 2008
3555 VANILLA GRASS DR, NAPERVILLE, IL 60564(630) 922-3922(630) 922-3923 Get Directions Write a Review

NPPES record last updated: July 10, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Serendestiny Enterprise Llc NPPES

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

SERENDESTINY ENTERPRISE LLC (NPI 1043474893) is a healthcare organization registered as a clinical genetics (m.d.) in Naperville, Illinois and active in the NPI registry since July 2008. The organization lists Lydia Dizon Jazmines, President, as its authorized official.

NPPES Registry Identity

NPI1043474893
Entity TypeOrganization
Primary Taxonomy207SG0201X
Legal Business NameSERENDESTINY ENTERPRISE LLC
Location Address3555 VANILLA GRASS DRNaperville, IL 60564-8331
Mailing Address355 Vanilla Grass DriveNaperville, IL 60564-8331 · (630) 922-3922 · Fax (630) 922-3923
Phone(630) 922-3922
Fax(630) 922-3923
Organization SubpartNo
Authorized OfficialLydia Dizon JazminesPresident · (630) 922-3922
Enumeration DateJuly 10, 2008
✔ NPI 1043474893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMedical Genetics · Clinical Genetics (M.D.)Allopathic & Osteopathic Physicians
Taxonomy Code207SG0201X
License✔ Licensed in IL · 036055400
Definition
A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.
3555 VANILLA GRASS DR, Naperville, IL 60564
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Other Identifiers 2

Medicaid036055400IL
Medicare PIN906320IL

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 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 Serendestiny Enterprise LLC's NPI number?

The NPI number for Serendestiny Enterprise LLC is 1043474893. It was assigned to this organization in the NPPES registry on July 10, 2008.

Where is Serendestiny Enterprise LLC located?

Serendestiny Enterprise LLC is located at 3555 Vanilla Grass Dr, Naperville, IL 60564. The listed phone number is (630) 922-3922.

What is Serendestiny Enterprise LLC's specialty?

The primary specialty registered for this NPI is Medical Genetics, specializing in Clinical Genetics (M.D.), with taxonomy code 207SG0201X.

When was this NPI record last updated?

The NPPES record for Serendestiny Enterprise LLC was last updated on July 10, 2008. 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.