Search › Illinois › 163WP0808X
Destiny Medina
NPI 1184218703 · on the registry since 2021
Practice
- Address
- 325 Illinois Rt 2
Dixon, IL 61021 - Phone
- (815) 284-6611
- Organisation at this address
- Genoa Healthcare Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 92
Registry record
- Primary taxonomy
- 163WP0808X
163WP0808X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-02-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois