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General NPI Number Information
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NPI Number | 1043606338
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Entity Type | Individual
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Provider Name | DAVID GRABSKI M.D. PH.D
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Gender | Male
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Dates
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Enumeration Date | 04/13/2015
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Last Update Date | 09/07/2025
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Provider Practice Location Address
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Address Line | 211 E CHICAGO AVE
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City | CHICAGO
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State | IL
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Zip | 60611-2637
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Country | US
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Telephone | 312-227-4734
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Fax |
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Provider Business Mailing Address
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Address Line | 211 E CHICAGO AVE
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City | CHICAGO
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State | IL
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Zip | 60611-2637
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Country | US
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Telephone | 312-227-4734
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0120X
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Taxonomy Name | Pediatric Surgery Physician
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License Number | 036.165567
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License Number State | IL
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