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

Mr. Dale Forrest Grooms, ATC

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1962581660

Mr. Dale Forrest Grooms, ATC is a Student in an Organized Health Care Education/Training Program in Winnetka, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2006
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Winnetka, IL
Fax: (847) 446-8247

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 96000739 (IL)

Record details

NPI number1962581660
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorYes
NPI enumeratedNovember 3, 2006
Last updated in NPPESJuly 8, 2007

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