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NPI Code Detail

MEDICARE: DR. IGNAS LABANAUSKAS MD

MEDICARE: DR. IGNAS LABANAUSKAS MD
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
1207X00000XOrthopaedic Surgery Physician036062821IL

General Provider Information

NPI Number : 1265423677
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. IGNAS LABANAUSKAS MD
Provider Business Mailing Address
First Line : 2701 W 68TH ST
Second Line :
City : CHICAGO
State : IL
Zip : 60629-1813
Country : US
Telephone Number : 773-884-7931
Fax Number : 630-571-7708
Provider Business Practice Location Address
First Line : 2701 W 68TH ST
Second Line :
City : CHICAGO
State : IL
Zip : 60629-1813
Country : US
Telephone Number : 773-884-7931
Fax Number : 630-571-7708
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2005
Last Update Date : 04/27/2015

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