Individual
MRS. KIMBERLY GRIMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
741 ANDERSON BLVD, GENEVA, IL 60134-1246
(630) 402-0515
Mailing address
741 ANDERSON BLVD, GENEVA, IL 60134-1246
(630) 402-0515
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
56005361
IL
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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