Dr. Mary D Degroot, DPM
Podiatrist in New Lenox, IL. Individual provider (NPI-1).
NPI number1720071970
StatusActive
Last updated in NPPESJan 26, 2011
Details
- NPI
- 1720071970
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mary D Degroot
- Credential
- DPM
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 23, 2005
- Last updated
- Jan 26, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213E00000X | Podiatrist | 016005141 | IL | Yes |
Practice location
1938 E Lincoln HwySuite 206
New Lenox, IL 60451-3810
Phone 815-462-9225 · Fax 815-462-5385
Mailing address
1938 E Lincoln HwySuite 206
New Lenox, IL 60451-3810
Phone 815-462-9225 · Fax 815-462-5385
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