Individual
DR. NEAL J LABANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19801 GOVERNORS HWY, SUITE 160, FLOSSMOOR, IL 60422-1029
(708) 957-0505
(708) 957-0506
Mailing address
19801 GOVERNORS HWY, SUITE 160, FLOSSMOOR, IL 60422
(708) 957-0505
(708) 957-0506
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036095205
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036095205
—
IL
05
—
200328110
—
IN
Enumeration date
08/03/2005
Last updated
12/21/2021
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