Individual
ALEXANDRA GROOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
501 DAVIS ST, EVANSTON, IL 60201-4619
(312) 815-9660
Mailing address
501 DAVIS ST, EVANSTON, IL 60201-4619
(312) 815-9660
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
385.007679
IL
363A00000X
Physician Assistant
—
—
Other
Enumeration date
11/16/2020
Last updated
01/27/2022
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