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NPI Code Detail

MEDICARE: MADALYN LABUDA

MEDICARE:   MADALYN  LABUDA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianIL

General Provider Information

NPI Number : 1740130277
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADALYN LABUDA
Provider Business Mailing Address
First Line : 1020 W LAWRENCE AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60640-5053
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1020 W LAWRENCE AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60640-5053
Country : US
Telephone Number : 708-860-0416
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2026
Last Update Date : 02/03/2026

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Directions to “ MADALYN LABUDA ” Practice Location

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