Mikaela Lynne Mcgrory, PA-C

NPI #1851666226 in Forest Park, Illinois

Provider Information

NPI Number: 1851666226
Entity Type: Individual
Name: Mikaela Lynne Mcgrory, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Mar 18, 2012
Last Updated: Oct 29, 2015

Practice Location

Address: 8200 W. ROOSEVELT ROAD
City: Forest Park
State: Illinois
ZIP Code: 60130-2528
Phone: (708) 488-9850

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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