Individual
HAILEY ANN DEGROOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1611 W HARRISON ST, SUITE 300, CHICAGO, IL 60612-4861
(708) 236-2673
(708) 409-5179
Mailing address
1 WESTBROOK CORPORATE CTR, STE 240, WESTCHESTER, IL 60154-5745
(708) 236-2673
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.005490
IL
363A00000X
Physician Assistant
10002699A
IN
Other
Enumeration date
10/02/2012
Last updated
09/27/2019
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