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NPI Code Detail

MEDICARE: KATHLEEN MCCLESKEY-GRIMES

MEDICARE:   KATHLEEN  MCCLESKEY-GRIMES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner277.004360IL

General Provider Information

NPI Number : 1467640193
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN MCCLESKEY-GRIMES
Provider Business Mailing Address
First Line : 111 W JACKSON BLVD STE 1700
Second Line :
City : CHICAGO
State : IL
Zip : 60604-3597
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 111 W JACKSON BLVD STE 1700
Second Line :
City : CHICAGO
State : IL
Zip : 60604-3597
Country : US
Telephone Number : 815-218-6783
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2007
Last Update Date : 10/21/2025

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Directions to “ KATHLEEN MCCLESKEY-GRIMES ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.