Labotka, David
Labotka, David is an individual health care provider with primary practice located at 5207 Main St , Downers Grove IL 60515-4652. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Labotka, David can be contacted via phone (630) 435-9888.Contact Information
Primary practice address
5207 Main St
Downers Grove IL 60515-4652
Phone: (630) 435-9888
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036073531 | Illinois |
Profile Details
| NPI number | 1205803178 |
|---|---|
| LBN Legal business name | Labotka, David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2006 |
| Last updated | Aug 10th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205803178 | NPPES |
| Illinois | MEDICAID | 036073531 |
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