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

Kimberly Grotelueschen

Individual provider Athletic Trainer · NPI 1619421500

Kimberly Grotelueschen is an Athletic Trainer in Round Lake, Illinois. Licensed in Illinois. Registered with an NPI since 2016.

Licensed in
IL
In the registry since
2016
Specialties on file
2

Practice location Address checks out

555 W Fairborn Ln
Round Lake, IL 60073-5602
Phone: (224) 308-6555
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence G63451095961 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence G63451095961 (IL)

Record details

NPI number1619421500
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 8, 2016
Last updated in NPPESAugust 8, 2016

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