Grable, Ian A.

Grable, Ian A. is an individual health care provider with primary practice located at 2650 Ridge Ave Ste 1420 , Evanston IL 60201-1700. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Grable, Ian A. can be contacted via phone (847) 570-2860.

Contact Information

Primary practice address
2650 Ridge Ave Ste 1420 Evanston IL 60201-1700
Phone: (847) 570-2860
Fax: (847) 733-5087
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 036087165 Illinois
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 72173 Wisconsin

Profile Details

NPI number 1972538031
LBN Legal business name Grable, Ian A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Feb 10th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972538031 NPPES
Wisconsin MEDICAID 100094803

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