Individual
DR. MELISSA DEGROOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1063 N NORTHWEST HWY, PARK RIDGE, IL 60068-1854
(847) 318-7672
Mailing address
205 N LOUIS ST, UNIT E, MOUNT PROSPECT, IL 60056-2578
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
IL
Other
Enumeration date
02/25/2007
Last updated
07/08/2007
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