Grimm, Rebekah

Grimm, Rebekah is an individual health care provider with primary practice located at 327 Gundersen Dr Suite C, Carol Stream IL 60188-2402. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Grimm, Rebekah can be contacted via phone (630) 784-3251.

Contact Information

Primary practice address
327 Gundersen Dr Suite C Carol Stream IL 60188-2402
Phone: (630) 784-3251
Fax: (630) 665-8188
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070-016980 Illinois

Profile Details

NPI number 1669613923
LBN Legal business name Grimm, Rebekah
Credentials PT, DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2009
Last updated Nov 17th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669613923 NPPES
Illinois Other P00859995 MEDICARE RR

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