Kimberly Grotelueschen
NPI #1619421500 in Round Lake, Illinois
Provider Information
- NPI Number
- 1619421500
- Entity Type
- Individual
- Name
- Kimberly Grotelueschen
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Enumeration Date
- Aug 8, 2016
- Last Updated
- Aug 8, 2016
Practice Location
- Address
- 555 W FAIRBORN LN
- City
- Round Lake
- State
- Illinois
- ZIP Code
- 60073-5602
- Phone
- (224) 308-6555
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
| Student in an Organized Health Care Education/Training Program |
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