Organization
LESLIE GABLE, M.D., S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESLIE GABLE (PRESIDENT)
(312) 263-5114
Entity
Organization
Contact information
Practice address
180 N MICHIGAN AVE, SUITE 2411, CHICAGO, IL 60601-7401
(312) 263-5114
(773) 244-6380
Mailing address
180 N MICHIGAN AVE, SUITE 2411, CHICAGO, IL 60601-7401
(312) 263-5114
(773) 244-6380
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1427028661
INDIVIDUAL NPI
IL
Enumeration date
03/03/2007
Last updated
08/22/2020
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