| Dale S Grimes MD | |
|
15 W Pleasant Ave Sandwich IL 60548-1050 | |
| (815) 786-2101 | |
| (815) 786-7745 |
| Full Name | Dale S Grimes MD |
|---|---|
| Speciality | Family Medicine |
| Location | 15 W Pleasant Ave, Sandwich, Illinois |
| Authorized Official Name and Position | Dale S Grimes (OWNER) |
| Authorized Official Contact | 8157862101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dale S Grimes MD 15 W Pleasant Ave Sandwich IL 60548-1050 Ph: (815) 786-2101 | Dale S Grimes MD 15 W Pleasant Ave Sandwich IL 60548-1050 Ph: (815) 786-2101 |
| NPI Number | 1023080132 |
|---|---|
| Provider Enumeration Date | 02/02/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023080132 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Illinois) | Primary |
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