Healthcare Provider Details

I. General information

NPI: 1306288022
Provider Name (Legal Business Name): CARYN MICHELLE LABUDA OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2013
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2371 BOWES RD STE 300
ELGIN IL
60123-5523
US

IV. Provider business mailing address

2371 BOWES RD STE 300
ELGIN IL
60123-5523
US

V. Phone/Fax

Practice location:
  • Phone: 773-526-1067
  • Fax: 773-775-4306
Mailing address:
  • Phone: 773-526-1067
  • Fax: 773-775-4306

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number046010700
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: