MEDICARE: GRACE NABIL JOSEPH M.D.

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
1	207P00000X	Emergency Medicine Physician	BP10057170	TX
2	207P00000X	Emergency Medicine Physician	036154482	IL
3	390200000X	Student in an Organized Health Care Education/Training Program
4	207P00000X	Emergency Medicine Physician	4745320	WI

General Provider Information

NPI Number	:	1245694090
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GRACE NABIL JOSEPH M.D.

Provider Business Mailing Address
First Line	:	5645 W ADDISON ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60634-2881
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9555 76TH ST
Second Line	:
City	:	PLEASANT PRAIRIE
State	:	WI
Zip	:	53158-1984
Country	:	US
Telephone Number	:	262-671-7050
Fax Number	:	262-671-7055

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/07/2016
Last Update Date	:	06/18/2026

Similar Medicare Providers

1881698454 — DONALD DOUGLAS STROBEL MD
Practice Location Address:

9555 76TH ST FL 2
PLEASANT PRAIRIE, WI
53158-1984

Practice Phone: 262-577-8300
Practice Fax: 262-577-8414

1033119276 — MR. JOHN A MARTINI MD
Practice Location Address:

9555 76TH ST
PLEASANT PRAIRIE, WI
53158-1984

Practice Phone: 262-671-7050
Practice Fax:

1376535492 — KARL A GREENE MD
Practice Location Address:

9555 76TH ST
PLEASANT PRAIRIE, WI
53158-1984

Practice Phone: 262-577-8000
Practice Fax: 262-577-8869

1871584250 — SYED HAIDER MD
Practice Location Address:

9555 76TH ST STE 1200
PLEASANT PRAIRIE, WI
53158-1984

Practice Phone: 262-671-7300
Practice Fax:

1952361818 — STEPHEN F. LAGA M.D.
Practice Location Address:

9555 76TH ST STE 3880
PLEASANT PRAIRIE, WI
53158-1984

Practice Phone: 263-653-5483
Practice Fax:

1518915073 — UNITED OCCUPATIONAL MEDICINE AND WALK IN SERVICES, LLC
Practice Location Address:

9555 76TH ST
PLEASANT PRAIRIE, WI
53158-1984

Practice Phone: 414-290-6718
Practice Fax: 414-290-6755

Directions to “ GRACE NABIL JOSEPH M.D.” Practice Location

Language	Start Address	Practice Location

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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.