Serendestiny Enterprise LLC

Primary specialty

Clinical Genetics (M.D.) PhysicianTaxonomy code 207SG0201X

License

036055400 Issued in IL

Legal business name

SERENDESTINY ENTERPRISE LLC

Practice address

3555 Vanilla Grass Dr
Naperville, IL 60564-8331

Phone

(630) 922-3922

Fax

(630) 922-3923

NPI assigned

Jul 10, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Lydia Dizon Jazmines, MD

Title

President

Phone

(630) 922-3922

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1043474893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 VANILLA GRASS DRIVE",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648331",
            "telephone_number": "630-922-3922",
            "fax_number": "630-922-3923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 VANILLA GRASS DR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648331",
            "telephone_number": "630-922-3922",
            "fax_number": "630-922-3923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENDESTINY ENTERPRISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-10",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "JAZMINES",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_middle_name": "DIZON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-922-3922",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207SG0201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "IL",
            "license": "036055400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036055400",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert M Seo, MD
• Jennifer Serafin, PT, DPT
• Sally P Seraphin, M.D.
• Corinne Ann Serdena, PHARMD, RPH
• Maria Serembytska
• Serenity Mental Health Counseling, PLLC
• Jackie A Serna, MS
• Ariel Sernek, DPT
• Serpe Chiropractic Clinic
• Joseph M. Serpe, DC

• Clinical Genetics (M.D.) Physician in Naperville, IL
• Providers in Naperville, IL by specialty
• Clinical Genetics (M.D.) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.