Mcgrory, Mikaela Lynne
Mcgrory, Mikaela Lynne is an individual health care provider with primary practice located at 8200 W. Roosevelt Road , Forest Park IL 60130-2528. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Mcgrory, Mikaela Lynne can be contacted via phone (708) 488-9850.Contact Information
Primary practice address
8200 W. Roosevelt Road
Forest Park IL 60130-2528
Phone: (708) 488-9850
Fax: (708) 488-9870
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 085004288 | Illinois |
Profile Details
NPI number | 1851666226 |
---|---|
LBN Legal business name | Mcgrory, Mikaela Lynne |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 18th, 2012 |
Last updated | Oct 29th, 2015 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1851666226 | NPPES |
Illinois | Other | 085004288 | LICENSE NO |
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