MR. DALE FORREST GROOMS ATC
NPI 1962581660
Student in an Organized Health Care Education/Training Program in Winnetka, IL

Active since November 03, 2006
385 WINNETKA AVE, WINNETKA, IL 60093(847) 501-6445(847) 446-8247 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Dale Forrest Grooms Atc NPPES

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

MR. DALE FORREST GROOMS ATC (NPI 1962581660) is an individual student in an organized health care education/training program in Winnetka, Illinois, licensed in Illinois (96000739) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1962581660
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. DALE FORREST GROOMSCredential: ATC
Location Address385 WINNETKA AVEWinnetka, IL 60093-4238
Mailing Address385 Winnetka AveWinnetka, IL 60093-4238 · (847) 501-6445 · Fax (847) 446-8247
Fax(847) 446-8247
Sole ProprietorYes
Enumeration DateNovember 3, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1962581660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in IL · 96000739
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
385 WINNETKA AVE, Winnetka, IL 60093

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
385 WINNETKA AVE
WINNETKA, IL 60093
Speech-Language Pathologist
385 WINNETKA AVE
WINNETKA, IL 60093
Specialist/Technologist (Athletic Trainer)
385 WINNETKA AVE
WINNETKA, IL 60093
Speech-Language Pathologist
385 WINNETKA AVE
WINNETKA, IL 60093
Specialist/Technologist (Athletic Trainer)
385 WINNETKA AVE
WINNETKA, IL 60093
Specialist/Technologist (Athletic Trainer)
385 WINNETKA AVE
WINNETKA, IL 60093

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 Dale Grooms's NPI number?

The NPI number for Dale Grooms is 1962581660. It was assigned to this individual provider in the NPPES registry on November 3, 2006.

Where is Dale Grooms located?

Dale Grooms practices at 385 Winnetka Ave, Winnetka, IL 60093. The listed phone number is (847) 501-6445.

What is Dale Grooms's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Dale Grooms was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.