Herndon, Karyn Grimm

Herndon, Karyn Grimm is an individual health care provider with primary practice located at 3633 W Lake Ave 204, Glenview IL 60026-5805. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Herndon, Karyn Grimm can be contacted via phone (847) 729-2240.

Contact Information

Primary practice address
3633 W Lake Ave 204 Glenview IL 60026-5805
Phone: (847) 729-2240
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036079223 Illinois

Profile Details

NPI number 1407805922
LBN Legal business name Herndon, Karyn Grimm
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Jan 24th, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1407805922 NPPES
Illinois MEDICAID 036079223

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