Individual
IAN A. GRABLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2650 RIDGE AVE STE 1420, EVANSTON, IL 60201-1700
(847) 570-2860
(847) 733-5087
Mailing address
2650 RIDGE AVE STE 1420, EVANSTON, IL 60201-1700
(847) 570-2860
(847) 733-5087
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
72173
WI
207VM0101X
Maternal & Fetal Medicine Physician
036087165
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100094803
—
WI
Enumeration date
07/11/2006
Last updated
02/10/2021
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