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Organization
MARTIN J. LABUDA, DC, PC
Active
Organization
MARTIN J. LABUDA, DC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN JOHN LABUDA JR. DC (PRESIDENT)
(773) 296-2225
Entity
Organization
Contact information
Practice address
3832 N BROADWAY ST, CHICAGO, IL 60613-3218
(773) 296-2225
(773) 296-0731
Mailing address
3832 N BROADWAY ST, CHICAGO, IL 60613-3218
(773) 296-2225
(773) 296-0731
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-009597
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01632439
BLUE CROSS BLUE SHIELD
IL
01
—
4063763
CIGNA
IL
01
—
IL7546
MEDICARE PTAN
IL
Enumeration date
06/01/2007
Last updated
07/13/2016
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