Individual provider · Type 1 NPI
Dale Forrest Grooms, ATC
Student in an Organized Health Care Education/Training Program · Winnetka, IL
NPI number
1962581660
Active
Practice location
385 Winnetka Ave
Winnetka, IL 60093-4238
Fax (847) 446-8247
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | 96000739 (IL) |
Student in an Organized Health Care Education/Training Program: 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.
5 other providers at this address
- Emily Hannah Espinosa, ATCAthletic Trainer Winnetka, IL NPI 1871123463
- Jacob Rothstein, CCC-SLPSpeech-Language Pathologist Winnetka, IL NPI 1154160646
- Julie Ann Smith, MS, CCC-SLPSpeech-Language Pathologist Winnetka, IL NPI 1316786825
- Kristin Romani, ATCAthletic Trainer Winnetka, IL NPI 1831505924
- Victoria MurphySpeech-Language Pathologist Winnetka, IL NPI 1700626355
Other student in an organized health care education/training program providers in Winnetka
About NPI 1962581660
Dale Forrest Grooms, ATC's National Provider Identifier is 1962581660, issued on Nov 3, 2006. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Winnetka, IL. The record was last updated on Jul 8, 2007.