MRS. DAWN GRIMM (NPI# 1588157465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588157465 |
Entity Type | Individual |
Full Name | MRS. DAWN GRIMM |
Credential | FNP |
Practice Address |
930 Meadowlawn Ave Downers Grove IL 60516-2905 |
Mailing Address |
12251 S 80th Ave Ste 1630 Palos Heights IL 60463-1256 |
Practice Telephone | 7087173890 |
Mailing Telephone | 7089235173 |
Mailing Fax Number | 7089235018 |
Enumeration Date | 2018-06-14 |
Last Update Date | 2019-04-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209.017757 | IL | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
12251 S 80th Ave, Palos Heights, IL 604631256 | 6302571111 | 6302571115 |
Street Address |
930 MEADOWLAWN AVE |
City | DOWNERS GROVE |
State | IL |
Zip Code | 60516-2905 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174015432 | Costula Cassiani | Behavior Technician | 20w438 Camder Drive, Downers Grove, IL 60516 | 2018-06-02 |
1346769130 | Zahra Bohri | Dietitian, Registered | 6337 Blodgett Ct, Downers Grove, IL 60516 | 2017-09-13 |
1033567359 | Samuel Brooks Allen | Dentist | 6800 Main St., Third Floor, Downers Grove, IL 60516 | 2016-05-26 |
1396019469 | Beverly Woltman | Technician/Technologist | 6800 S. Main Street, Suite Ll5, Downers Grove, IL 60516 | 2012-03-06 |
1992080642 | Verna Dianne Velazquez | Counselor | 5630 Hillcrest Rd, Downers Grove, IL 60516 | 2011-10-13 |
1598048274 | Rabia Ansari | Optometrist | 1530 W 75th St, Downers Grove, IL 60516 | 2011-09-20 |
1487971545 | Brilliant Dental LLC | Dentist | 1400 W 75th St, B1, Downers Grove, IL 60516 | 2010-04-29 |
1235466558 | Erika D Schultz | Social Worker | 11008 Palmer St., Downers Grove, IL 60516 | 2009-11-06 |
1124253836 | Main Street Chiropractic and Wellness Center Ltd | Clinic/Center | 6234 S Main Street, Downers Grove, IL 60516 | 2009-05-26 |
1841439320 | Lisa Marie Burknap | Behavioral Analyst | 9 South 329 Cumnor, Downers Grove, IL 60516 | 2009-02-06 |
Find all providers in zip 60516 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043829690 | Caroline Heuer | Nurse Practitioner | 1575 Almond Ct, Downers Grove, IL 60515-1340 | 2020-07-29 |
1104461045 | Erin Marie Sebo | Nurse Practitioner | 4049 Earlston Rd, Downers Grove, IL 60515-2151 | 2019-11-14 |
1114573193 | Toymesia N Lewis | Nurse Practitioner | 2655 Warrenville Rd, Downers Grove, IL 60515-5555 | 2019-08-14 |
1326557919 | Ray Victor Obaseki | Nurse Practitioner | 3030 Finley Rd Ste 140, Downers Grove, IL 60515-1179 | 2017-09-26 |
1720504756 | Leanne R Miller | Nurse Practitioner | 1441 Branding Ave Ste 200, Downers Grove, IL 60515-5624 | 2017-08-22 |
1962872622 | Diana Lynn Simmons | Nurse Practitioner | 1432 Brook Dr, Downers Grove, IL 60515-1025 | 2015-10-06 |
1619386562 | Tracy Daly | Nurse Practitioner | 965 Rogers St, Apt 505, Downers Grove, IL 60515-3678 | 2014-08-05 |
1932517372 | Jamie Wourms | Nurse Practitioner | Advocate Medical Group - Advocate Clinic Downers Grove, 1000 Ogden Ave, Downers Grove, IL 60515-2803 | 2014-07-29 |
1164776688 | Nicole Ann Schwab | Nurse Practitioner | 3825 Highland Ave Suite 2b, Downers Grove, IL 60515 | 2012-11-06 |
1396059606 | Kimberly C Anderegg | Nurse Practitioner | 1560 75th St, Downers Grove, IL 60516-6207 | 2010-07-28 |
Find all providers in DOWNERS GROVE |
City | DOWNERS GROVE |
Zip Code | 60516 |
Please comment or provide details below to improve the information on MRS. DAWN GRIMM.
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.