Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DALE FORREST GROOMS, ATC
Active Sole ProprietorMR. DALE FORREST GROOMS, ATC is a Student (Health Education/Training) healthcare provider located in WINNETKA, Illinois. NPI 1962581660 is currently active in the NPPES registry. Verify at CMS.
Student (Health Education/Training) · WINNETKA, IL
Registration Details
- NPI Number
- 1962581660
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 3, 2006 (19.735657050699 yrs)
- Last Updated
- Jul 8, 2007
- License
-
96000739 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
385 WINNETKA AVEWINNETKA, IL, 600934238Browse IL providers · Browse ZIP 60093
- Phone
- 8475016445
- Fax
- 8474468247
- Primary Specialty
-
Student (Health Education/Training)
390200000X
Other Student (Health Education/Training) Providers in WINNETKA, IL
| Name | Credential | NPI |
|---|---|---|
| ANDRES GUTIERREZ | MD | 1568969996 |
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.