Individual
THELMA LABAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 S FAIRFIELD AVE, CHICAGO, IL 60608-1782
(773) 257-4938
Mailing address
7221 W RASCHER AVE, CHICAGO, IL 60656-1806
(773) 744-2479
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041404279
IL
Other
Enumeration date
12/31/2024
Last updated
01/09/2025
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