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Organization

DALE S GRIMES MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DALE S GRIMES MD (OWNER)
(815) 786-2101
Entity
Organization

Contact information

Practice address
15 W PLEASANT AVE, SANDWICH, IL 60548-1050
(815) 786-2101
(815) 786-7745
Mailing address
15 W PLEASANT AVE, SANDWICH, IL 60548-1050
(815) 786-2101
(815) 786-7745

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
IL

Other

Enumeration date
02/02/2006
Last updated
08/22/2020
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