Kimberly Grogan, | |
1570 Oak Ave Apt 401, Evanston, IL 60201-4269 | |
(262) 751-4445 | |
(262) 751-4445 |
Full Name | Kimberly Grogan |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 1570 Oak Ave Apt 401, Evanston, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811426158 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | (Illinois) | Primary |
Provider Name | Memorycare Corporation |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1609193515 PECOS PAC ID: 3870785132 Enrollment ID: O20101006000084 |
Mailing Address | Practice Location Address |
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Kimberly Grogan, N68w23921 Donna Dr, Sussex, WI 53089-2705 Ph: () - | Kimberly Grogan, 1570 Oak Ave Apt 401, Evanston, IL 60201-4269 Ph: (262) 751-4445 |
Joanna Jeanne Josten, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2323 Mcdaniel Ave, Evanston, IL 60201 Phone: 847-905-1234 | |
Ms. Estherbeth Buchbinder, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8905 E Prairie Rd, Evanston, IL 60203 Phone: 847-674-8239 Fax: 847-763-8187 | |
Jessica L Siegman, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9120 E Prairie Rd, Evanston, IL 60203 Phone: 847-651-3257 | |
Jaime Jo Vehovsky, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2213 Noyes St, Evanston, IL 60201 Phone: 847-563-8261 | |
Alexa Brianne Gerdes, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1638 Maple Ave, Evanston, IL 60201 Phone: 877-486-4140 | |
Claudine Marie Holloway, MS OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 719 Reba Pl, #2 S, Evanston, IL 60202 Phone: 847-570-9879 | |
Deepika Shanti Sethi, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2530 Ridge Ave, Evanston, IL 60201 Phone: 877-486-4140 |