KELSEY GRIMMER (NPI# 1265695530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265695530 |
| Entity Type | Individual |
| Full Name | KELSEY GRIMMER |
| Credential | PA |
| Practice Address |
900 N Westmoreland Rd Ste 222 Lake Forest IL 60045-1674 |
| Practice Telephone | 9207911347 |
| Mailing Telephone | 9207911347 |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2016-02-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
085004128 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
2303 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811490485 | Kelsey Grimmer | Behavior Technician | 528 E Spokane Falls Blvd Ste 14, Spokane, WA 99202-5081 | 2018-03-09 |
| Street Address |
900 N WESTMORELAND RD STE 222 |
| City | LAKE FOREST |
| State | IL |
| Zip Code | 60045-1674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366437352 | Sheri Ross | Pediatrics | 900 N Westmoreland Rd, 106, Lake Forest, IL 60045-1674 | 2005-09-15 |
| 1063821916 | Northwestern Medical Faculty Foundation | Optometrist | 900 N Westmoreland Rd, Lower Level 88, Lake Forest, IL 60045-1674 | 2014-08-05 |
| 1982958013 | Pediatrust, L.L.C. | Pediatrics | 900 N Westmoreland Rd, Suite 217, Lake Forest, IL 60045-1674 | 2012-10-26 |
| 1891093019 | James E Jupa Md Sc | Internal Medicine | 900 N Westmoreland Rd, Suite 108, Lake Forest, IL 60045-1674 | 2011-03-11 |
| 1205083383 | Envision Eye Center Ltd | Durable Medical Equipment & Medical Supplies | 900 N Westmoreland Rd, Suite Ll84, Lake Forest, IL 60045-1681 | 2008-08-20 |
| 1780856799 | Elizabeth Q Wang | Nurse Practitioner | 900 N Westmoreland Rd, Suite 110, Lake Forest, IL 60045-1674 | 2008-03-31 |
| 1700060704 | Justin J. Cohen | Urology | 900 N Westmoreland Rd, Suite 228, Lake Forest, IL 60045-1674 | 2007-12-27 |
| 1710179759 | Karen J Mass | Obstetrics & Gynecology | 900 N Westmoreland Rd, Suite 223, Lake Forest, IL 60045-1674 | 2007-08-14 |
| 1417157835 | Rosamaria Slominski | Specialist | 900 N Westmoreland Rd, Basement, Lake Forest, IL 60045-1674 | 2007-07-23 |
| 1003011628 | Lake Shore Pediatrics, Ltd | Pediatrics | 900 N Westmoreland Rd, Suite 106, Lake Forest, IL 60045-1674 | 2007-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851931109 | Spine & Wellness Clinic, Inc. | Chiropractor | 775 N Bank Lane Suite 101, Lake Forest, IL 60045 | 2020-01-14 |
| 1184278640 | Mary Belluomini Dipietro | Dietitian, Registered | 1000 North Westmoreland Rd., Lake Forest, IL 60045 | 2019-08-01 |
| 1336621747 | Brook Elizabeth Orvis | Physical Therapist | 1000 N Westmoreland Road, 2nd Floor, Pavilion B, Lake Forest, IL 60045 | 2018-08-31 |
| 1336621028 | Michelle Nebel | Audiologist | 225 East Deerpath, Suite 223, Lake Forest, IL 60045 | 2018-08-30 |
| 1467951731 | Devan Keesling | Audiologist | 800 N Westmoreland Rd Ste Ll30, Lake Forest, IL 60045 | 2018-02-01 |
| 1023516796 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1000 N Westmoreland Rd Ste A, Lake Forest, IL 60045 | 2018-01-29 |
| 1275056780 | Karen Elizabeth Cohen | Counselor | 1331 S. Estate Lane, Lake Forest, IL 60045 | 2017-07-18 |
| 1497281711 | Caroline Connors | Speech-Language Pathologist | 660 Westmoreland Road, Lake Forest, IL 60045 | 2017-05-05 |
| 1013453406 | Katie L Konopacz | Nurse Practitioner | 1000 N Westmoreland Rd # B, Lake Forest, IL 60045 | 2017-01-10 |
| 1225424575 | Sean Robert Wessel | Internal Medicine | 1000 N Westmoreland Rd Ste 3556, Lake Forest, IL 60045 | 2015-04-14 |
| Find all providers in zip 60045 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699201277 | Molly Anne Churlonis | Physician Assistant | 29100 Portola Pkwy Ste G, Lake Forest, CA 92630-8712 | 2017-05-03 |
| 1245328582 | Rebecca Gamble Houglum | Physician Assistant | 915 S Waukegan Rd, Lake Forest, IL 60045-2654 | 2006-10-11 |
| 1619512019 | Robert William Radtke IIi | Physician Assistant | 1000 N Westmoreland Rd, Lake Forest, IL 60045-1658 | 2019-11-10 |
| 1508377532 | Meghan Strand | Physician Assistant | 660 N Westmoreland Rd, Lake Forest, IL 60045-1659 | 2017-10-17 |
| 1306364633 | Jamie Melissa Rosenberg | Physician Assistant | 1000 N Westmoreland Rd, Lake Forest, IL 60045-1658 | 2017-09-07 |
| 1750763801 | Gianna Rondinella | Physician Assistant | 660 N Westmoreland Rd, Lake Forest, IL 60045-1659 | 2015-06-25 |
| 1609053487 | Amena Masood Ali | Physician Assistant | 23672 Birtcher Dr, Unit A, Lake Forest, CA 92630-1711 | 2008-01-24 |
| 1467648683 | Katie Springer | Physician Assistant | 800 N Westmoreland Rd Ste 201, Lake Forest, IL 60045 | 2007-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831707298 | Eliza Ballen | Physician Assistant | 335 Sylvan Rd, Lake Bluff, IL 60044-2562 | 2020-07-21 |
| 1477177947 | Rybecca Janovyak | Physician Assistant | 14432 High Rd, Lockport, IL 60441-9402 | 2020-06-01 |
| 1518591759 | Julie Jenkot | Physician Assistant | 333 N Michigan Ave Fl 14, Chicago, IL 60601-3901 | 2020-02-26 |
| 1801429873 | Hinjal D Jha | Physician Assistant | 22285 N Pepper Rd Ste 409, Lake Barrington, IL 60010-2542 | 2020-02-19 |
| 1770120222 | Alvina Shaikh | Physician Assistant | 4009 Warren Ave, Bellwood, IL 60104-2066 | 2019-12-03 |
| 1457997561 | Jasleen Mohini Singh | Physician Assistant | 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 | 2019-11-24 |
| 1538705272 | Bethany Mae Frisby | Physician Assistant | 8630 W Golf Rd, Niles, IL 60714-5600 | 2019-11-18 |
| 1134761984 | Ella-marie Rakowski | Physician Assistant | 25 Acorn Dr, Hawthorn Woods, IL 60047-7407 | 2019-10-14 |
| 1467001859 | Timothy Omotayo Adesanya | Physician Assistant | Graham Correctional Center, 12078 Illinois Rte 185, Hilliboro, IL 62049 | 2019-09-09 |
| 1518514066 | Victoria Moore | Physician Assistant | 979 W Main St, West Dundee, IL 60118-2088 | 2019-08-20 |
| Find all providers with the same taxonomy | ||||
| City | LAKE FOREST |
| Zip Code | 60045 |
Please comment or provide details below to improve the information on KELSEY GRIMMER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.