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KIMBERLY GROTELUESCHEN
NPI 1619421500
Specialist/Technologist - Athletic Trainer in Round Lake, IL

Active since August 08, 2016
555 W FAIRBORN LN, ROUND LAKE, IL 60073(224) 308-6555 Get Directions Write a Review

NPPES record last updated: August 8, 2016. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Kimberly Grotelueschen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY GROTELUESCHEN (NPI 1619421500) is an individual athletic trainer provider in Round Lake, Illinois, licensed in Illinois (G63451095961) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1619421500
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameKIMBERLY GROTELUESCHEN
Location Address555 W FAIRBORN LNRound Lake, IL 60073-5602
Mailing Address555 W Fairborn LnRound Lake, IL 60073-5602 · (224) 308-6555
Phone(224) 308-6555
Sole ProprietorNo
Enumeration DateAugust 8, 2016
✔ NPI 1619421500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License✔ Licensed in IL · G63451095961
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License G63451095961 (IL)
555 W FAIRBORN LN, Round Lake, IL 60073
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Grotelueschen's NPI number?

The NPI number for Kimberly Grotelueschen is 1619421500. It was assigned to this individual provider in the NPPES registry on August 8, 2016.

Where is Kimberly Grotelueschen located?

Kimberly Grotelueschen practices at 555 W Fairborn Ln, Round Lake, IL 60073. The listed phone number is (224) 308-6555.

What is Kimberly Grotelueschen's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Kimberly Grotelueschen was last updated on August 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.