National Provider Identifier Database

MARY D DEGROOT, DPM – NPI #1720071970
Podiatrist

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.


Contact Information

MARY D DEGROOT, DPM
1938 E LINCOLN HWY
SUITE 206
NEW LENOX, IL60451-3810
Phone: 815-462-9225
Fax: 815-462-5385
Website:
Specialty Taxonomy Code
* Podiatrist 213E00000X

* Indicates primary specialty

NPI Profile & details for MARY D DEGROOT

NPI Number 1720071970
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 08/23/2005
Last updated 01/26/2011 - About 15 years ago
Sole proprietor1 Yes
Identifiers
  • IL License #: 016005141
  • IL Medicaid: 016005141
  • IL Other: 01634686 BCBS
  • IL Other: P00194730 RAILROAD MEDICARE
Hospital affiliation n/a

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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