Dale Forrest Grooms in Winnetka - Student In An Organized Health Care Education/training Program
Dale Forrest Grooms - NPI 1962581660
Dale Forrest Grooms is a Student In An Organized Health Care Education/training Program in Winnetka, Illinois. Dale Forrest Grooms practices all healthcare services and medical treatments related to Student In An Organized Health Care Education/training Program. The NPI Number for Dale Forrest Grooms is 1962581660. The last update date is 2007-07-08.
Dale Forrest Grooms's current location address is 385 Winnetka Ave, Winnetka, Illinois. You can contact this provider via phone number 8475016445 and fax number 8474468247. The mailing address for Dale Forrest Grooms is 385 Winnetka Ave, Winnetka, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dale Forrest Grooms |
|---|---|
| Address | 385 Winnetka Ave, Winnetka, Illinois |
| Phone Number | 8475016445 |
| Fax Number | 8474468247 |
| Sole Proprietor | Y |
| Credentials | ATC |
NPI Number Detail
| NPI Number | 1962581660 |
|---|---|
| Provider Enumeration Date | 2006-11-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 385 Winnetka Ave |
|---|---|
| City | Winnetka |
| State | Illinois (IL) |
| Post Code | 600934238 |
| Phone Number | 8475016445 |
| Fax Number | 8474468247 |
Provider's Primary Taxonomy Detail
| Speciality | Student In An Organized Health Care Education/training Program |
|---|---|
| Taxonomy | 390200000X |
| Licence No | 96000739 |
|
Definition: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Dale Forrest Grooms by the Centers for Medicare & Medicaid Services?
The Dale Forrest Grooms has been issued the NPI (National Provider Identifier) 1962581660 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Dale Forrest Grooms is geographically located?
The Dale Forrest Grooms is physically situated at the following location: 385 Winnetka Ave, Winnetka, IL, 600934238.
What is Dale Forrest Grooms's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Dale Forrest Grooms is Student In An Organized Health Care Education/training Program, and the taxonomy code that categorizes this field of expertise is 390200000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1962581660 to Dale Forrest Grooms?
The Centers for Medicare & Medicaid Services assigned the 1962581660 to Dale Forrest Grooms on 2006-11-03.
When was the information related to Dale Forrest Grooms most recently updated or refreshed?
The details pertaining to the Dale Forrest Grooms, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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