Dale S Grimes MD
Organization Active NPI Family Medicine Physician · Sandwich, IL
NPI 1023080132 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1023080132
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- DALE S GRIMES MD
- Practice address
- 15 W Pleasant Ave
Sandwich, IL 60548-1050 - Phone
- (815) 786-2101
- Fax
- (815) 786-7745
- NPI assigned
- Feb 2, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Dale S Grimes, MD
- Title
- Owner
- Phone
- (815) 786-2101
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | IL | Yes |
Addresses
Primary practice location
15 W Pleasant Ave
Sandwich, IL 60548-1050
Mailing address
15 W Pleasant Ave
Sandwich, IL 60548-1050
Phone (815) 786-2101
Other providers in Sandwich, IL
- Brandon Alexander Capalad
- Catalyst Physiotherapy, Performance, & Wellness LLC
- Gabriella Elizabeth Chalfin
- Aleah G Cipra
- Sally Corey
- Julie Ann Danielson
- Adele Luci Danny
- Scott J Davis
- Madison Rae Dawson
- Dekalb Behavioral Health Foundation, Inc.
All providers in Sandwich, IL · Family Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.