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Kimberly Grotelueschen
NPI 1619421500 · on the registry since 2016
Practice
- Address
- 555 W Fairborn Ln
Round Lake, IL 60073 - Phone
- (224) 308-6555
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Also registered as
- 390200000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-08-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois