Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIMBERLY GROTELUESCHEN
ActiveKIMBERLY GROTELUESCHEN is a Athletic Trainer healthcare provider located in ROUND LAKE, Illinois. NPI 1619421500 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · ROUND LAKE, IL
Registration Details
- NPI Number
- 1619421500
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 8, 2016 (10.00099565157 yrs)
- Last Updated
- Aug 8, 2016
- Licenses
-
G63451095961 (IL)G63451095961 (IL)
Practice Information
- Address
-
555 W FAIRBORN LNROUND LAKE, IL, 600735602Browse IL providers · Browse ZIP 60073
- Phone
- 2243086555
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Student (Health Education/Training)
Other Athletic Trainer Providers in ROUND LAKE, IL
| Name | Credential | NPI |
|---|---|---|
| MR. GIACCHINO JAMES LECH II | ATC | 1659778090 |
| KATY BOYACK | — | 1730634221 |
| COURTNEY GRACE LEVY | — | 1194614396 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.