Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelsey Grimmer, PA

Individual provider Medical Physician Assistant · NPI 1265695530

Kelsey Grimmer, PA is a Physician Assistant in Lake Forest, Illinois. Qualified in 2008, 18 years ago. Practices with Dermatologists of Illinois, PLLC, a 12-clinician group and accepts Medicare assignment. Licensed in Illinois and Wisconsin.

Years since qualifying
18
Licensed in
IL, WI
In the registry since
2008
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

900 N Westmoreland Rd Ste 222
Lake Forest, IL 60045-1674
Phone: (920) 791-1347
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 085004128 (IL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 2303 (WI)

Record details

NPI number1265695530
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 8, 2008
Last updated in NPPESFebruary 19, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Dermatologists Of Illinois, Pllc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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