| Doctor Name: | DR. BILL H GRIMM |
| NPI Number: | 1053514489 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | |
| Business Practice Address: | 6912 Main St Suite 29 Downers Grove, IL - 605163447 |
| Business Phone Number: | 6309639381 |
| Business Fax Number: | 8152540635 |
| Mailing Address: | 13114 Shreffler Dr, PLAINFIELD |
| State: | IL |
| Postal Code: | 605857867 |
| Phone Number: | 8152540634 |
| Fax Number: | 8152540635 |
| NPI Enumeration Date: | 06/05/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |