Alexandra Groot, PA-C

Physician Assistant · Evanston, IL

Individual Active NPI

NPI number 1629670427

Practice location

501 Davis St
Evanston, IL 60201-4619
Phone
(312) 815-9660

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NPI record

NPI
1629670427
Entity type
Individual (Type 1)
Enumeration date
November 16, 2020
Last updated
January 27, 2022
Certified
January 27, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 385.007679 IL
Physician Assistant 363A00000X — —

About Alexandra Groot

Alexandra Groot, PA-C is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 501 Davis St, Evanston, IL 60201-4619. The NPI number 1629670427 was assigned on November 16, 2020 and the record was last updated on January 27, 2022.

Alexandra Groot lists a license in the registry: #385.007679 (IL) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Alexandra Groot, PA-C?

The NPI number is 1629670427.

What is the phone number of Alexandra Groot?

The phone number listed for the practice location is (312) 815-9660.

Where is Alexandra Groot located?

501 Davis St, Evanston, IL 60201-4619.

What is the taxonomy code for Alexandra Groot?

The primary taxonomy code is 363A00000X – Physician Assistant; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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