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Contact Information

DEGROOT FOOT & ANKLE CLINIC, PC
1938 E LINCOLN HWY
SUITE 206
NEW LENOX, IL60451-3810
 Phone: 815-462-9225
 Fax: 815-462-5385
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for DEGROOT FOOT ANKLE CLINIC PC · (Female)

NPI Number 1063691681
Status Active
Credentials
Entity Individual
Enumeration date 10/31/2007
Last updated 04/30/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 016005141
  • IL Other 0009932678 BLUE CROSS BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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