Grotelueschen, Kimberly

Grotelueschen, Kimberly is an individual health care provider with primary practice located at 555 W Fairborn Ln , Round Lake IL 60073-5602. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Student, Health Care / Student in an Organized Health Care Education/Training Program. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is her primary health care specialty. Grotelueschen, Kimberly can be contacted via phone (224) 308-6555.

Contact Information

Primary practice address
555 W Fairborn Ln Round Lake IL 60073-5602
Phone: (224) 308-6555
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X G63451095961 Illinois
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X G63451095961 Illinois

Profile Details

NPI number 1619421500
LBN Legal business name Grotelueschen, Kimberly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2016
Last updated Aug 8th, 2016 - 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.

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