KIMBERLY GROTELUESCHEN – Athletic Trainer, NPI 1619421500

KIMBERLY GROTELUESCHEN is a healthcare provider. based in Round lake, Illinois. specializing in Athletic Trainer. They hold a License No. G63451095961 (IL). The NPI Number for KIMBERLY GROTELUESCHEN is 1619421500

Main info

Female
Name
KIMBERLY GROTELUESCHEN
NPI
1619421500
Phone
(224) 308-6555
Address
555 W FAIRBORN LN
Enumeration Date
8 August 2016
Last Update Date
8 August 2016
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:9State licenses:1Digital endpointsOther names

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Provider Addresses for KIMBERLY GROTELUESCHEN

  • 555, Fairborn Lane, Round Lake, Lake County, Illinois, 60073, United States

    ROUND LAKE, IL 600735602

    Phone: (224) 308-6555

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60073)

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Reviews

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Frequently asked questions

How is KIMBERLY GROTELUESCHEN identified in CMS data?
CMS-hosted NPPES data lists KIMBERLY GROTELUESCHEN with NPI 1619421500.
Does the file indicate KIMBERLY GROTELUESCHEN is practicing under active NPI?
Directory data currently reports KIMBERLY GROTELUESCHEN as active.
What is KIMBERLY GROTELUESCHEN's specialty?
The listing groups KIMBERLY GROTELUESCHEN with Athletic Trainer. Clinical services aligned with this taxonomy classification.
Where is KIMBERLY GROTELUESCHEN based?
KIMBERLY GROTELUESCHEN is tied to Round Lake, Illinois in the data we show; additional addresses may exist on the full record.
Is the information about KIMBERLY GROTELUESCHEN up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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