DR. MARY D DEGROOT (NPI# 1720071970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720071970 |
| Entity Type | Individual |
| Full Name | DR. MARY D DEGROOT |
| Credential | DPM |
| Practice Address |
1938 E Lincoln Hwy Suite 206 New Lenox IL 60451-3810 |
| Practice Telephone | 8154629225 |
| Practice Fax Number | 8154625385 |
| Mailing Telephone | 8154629225 |
| Mailing Fax Number | 8154625385 |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2011-01-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 016005141 | IL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 016005141 | 05 | |
| IL | BCBS | 01634686 | 01 |
| IL | RAILROAD MEDICARE | P00194730 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023647708 | Mary Degroot | Internal Medicine | 350 Willet Ave, Naples, FL 34108-2104 | 2020-04-05 |
| 1639642457 | Mary A Degroot | Massage Therapist | 1200 High St Ste 110, Eugene, OR 97401-3232 | 2019-01-03 |
| Street Address |
1938 E LINCOLN HWY SUITE 206 |
| City | NEW LENOX |
| State | IL |
| Zip Code | 60451-3810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982114922 | Kyle Lee Lisowski | Counselor | 1938 E Lincoln Hwy, New Lenox, IL 60451-3810 | 2017-10-04 |
| 1154786531 | Shehab Awadallah | Chiropractor | 1938 E Lincoln Hwy, Suite 204, New Lenox, IL 60451-3810 | 2015-12-29 |
| 1750754453 | Jillian B Walker | Physical Therapist | 1938 E Lincoln Hwy, Suite 111, New Lenox, IL 60451-3810 | 2015-11-04 |
| 1952774713 | Annette Krason | Counselor | 1938 E Lincoln Hwy, Suite 219, New Lenox, IL 60451-3810 | 2015-11-02 |
| 1871970970 | Chicagoland Foot and Ankle, PC | Podiatrist | 1938 E Lincoln Hwy, Ste 206, New Lenox, IL 60451-3810 | 2015-04-28 |
| 1538557293 | Carly Olczak | Social Worker | 1938 E Lincoln Hwy, Suite 203, New Lenox, IL 60451-3810 | 2015-01-05 |
| 1629480181 | Brittany Minniear | Physical Therapist | 1938 E Lincoln Hwy, Suite 111, New Lenox, IL 60451-3810 | 2014-06-02 |
| 1578991386 | Choice Clinical Services Inc. | Social Worker | 1938 E Lincoln Hwy, Suite 294, New Lenox, IL 60451-3810 | 2013-10-15 |
| 1255675427 | Michael Waters | Physical Therapist | 1938 E Lincoln Hwy, Suite 111, New Lenox, IL 60451-3810 | 2012-11-12 |
| 1780912501 | Chiro One Wellness Center of New Lenox LLC | Chiropractor | 1938 E Lincoln Hwy, Suite 204, New Lenox, IL 60451-3810 | 2009-12-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871126227 | Forever Family Dental of New Lenox | Dentist | 202 Vancina Lane, New Lenox, IL 60451 | 2020-02-13 |
| 1699245662 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 115 East Maple St, New Lenox, IL 60451 | 2018-12-03 |
| 1093204778 | New Lenox Anesthesia LLC | Anesthesiology | 678 Cedar Crossing Dr, New Lenox, IL 60451 | 2018-05-08 |
| 1578068698 | My Medicar | Non-emergency Medical Transport (VAN) | 21625 S. Schoolhouse Rd, New Lenox, IL 60451 | 2018-03-29 |
| 1134646771 | Julianne M. Goudzwaard | Registered Nurse | 841 Buckboard Drive, New Lenox, IL 60451 | 2017-08-24 |
| 1063947422 | Silver Cross Ambulatory Surgery Center, LLC | Clinic/Center | 1003 Pawlak Parkway, New Lenox, IL 60451 | 2017-04-24 |
| 1386090041 | Lindsey Reimer | Speech-Language Pathologist | 3515 Golf Ave, New Lenox, IL 60451 | 2016-05-11 |
| 1295105484 | Alison Elaine Burchardt | Nurse Practitioner | 1890 Silver Cross Boulevard, Pavilion A, Suite 240, New Lenox, IL 60451 | 2015-09-30 |
| 1700278959 | Dental Professionals of Illinois, P.c | Dentist | 561 E Lincoln Hwy, New Lenox, IL 60451 | 2015-02-25 |
| 1912319146 | Teresea Bargewell | Counselor | 1049 E. Lincoln Hwy, Decision Point Counseling and Career Center, New Lenox, IL 60451 | 2014-05-22 |
| Find all providers in zip 60451 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720180656 | Michael Aubrey Shanholtzer | Podiatrist | 500 W Maple St, Suite 206, New Lenox, IL 60451-2908 | 2006-09-01 |
| 1063691681 | Degroot Foot & Ankle Clinic, PC | Podiatrist | 1938 E Lincoln Hwy, Suite 206, New Lenox, IL 60451-3810 | 2007-10-31 |
| 1790899979 | Paul Bernard Kirchner | Podiatrist | 250 E Maple St, New Lenox, IL 60451-1871 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881200343 | Podiatric Management Systems LLC | Podiatrist | 1 S067 Summit Ave, Oakbrook Terrace, IL 60181 | 2020-09-21 |
| 1114533700 | Podiatric Management Systems LLC | Podiatrist | 537 W 31st St, Chicago, IL 60616-3294 | 2020-09-18 |
| 1306452099 | Podiatric Management Systems LLC | Podiatrist | 2 W Talcott Rd Ste 23, Park Ridge, IL 60068-5558 | 2020-09-18 |
| 1073129763 | Podiatric Management Systems LLC | Podiatrist | 4310f W Crystal Lake Rd # F, Mchenry, IL 60050-4208 | 2020-09-18 |
| 1679187090 | Podiatric Management Systems LLC | Podiatrist | 5600 W Addison St Lowr 2ll, Chicago, IL 60634-4499 | 2020-09-02 |
| 1932742848 | Foot and Ankle Care & Associates, Ltd | Podiatrist | 3320 W 63rd St, Chicago, IL 60629-3317 | 2019-10-23 |
| 1437622966 | Tomasz Szmyd Dpm, PC | Podiatrist | 1500 E 67th St, Chicago, IL 60637-4427 | 2019-01-08 |
| 1689145898 | S Thomas Sehy D P M L L C | Podiatrist | 213 Nw 10th St Ste B, Fairfield, IL 62837-1219 | 2018-12-16 |
| 1548746761 | Jeremy Marchand | Podiatrist | 2751 W Winona St Rm Ap457, Chicago, IL 60625-2508 | 2018-07-11 |
| 1932693744 | Giovanni Incandela | Podiatrist | 700 E Algonquin Rd Unit 2313, Schaumburg, IL 60173-3835 | 2018-06-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.