Provider Demographics
NPI:1790017200
Name:GRABCZYNSKI, GAIL MARIE (EDD, LCSW)
Entity Type:Individual
Prefix:DR
First Name:GAIL
Middle Name:MARIE
Last Name:GRABCZYNSKI
Suffix:
Gender:F
Credentials:EDD, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 N WACKER DR
Mailing Address - Street 2:SUITE 166
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60606-2800
Mailing Address - Country:US
Mailing Address - Phone:312-607-1385
Mailing Address - Fax:773-548-6400
Practice Address - Street 1:1325 S WABASH AVE STE 302
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60605-2536
Practice Address - Country:US
Practice Address - Phone:312-607-1385
Practice Address - Fax:312-277-6113
Is Sole Proprietor?:No
Enumeration Date:2010-02-08
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0084221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1528390929Medicaid
IL2784763OtherCIGNA BEHAVIORAL HEALTH