Individual
KATI GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
600 N COLLEGE AVE, STE 120, GENESEO, IL 61254-1091
(309) 994-5342
Mailing address
600 N COLLEGE AVE, STE 120, GENESEO, IL 61254-1091
(309) 994-5342
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.014471
IL
Other
Enumeration date
07/13/2016
Last updated
11/28/2016
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