Individual
DAVID LABOTKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5207 MAIN ST, DOWNERS GROVE, IL 60515-4652
(630) 435-9888
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036073531
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036073531
—
IL
Enumeration date
03/01/2006
Last updated
08/10/2023
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