Provider Demographics
NPI:1386983591
Name:LABADIE, KAREN (DDS)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:
Last Name:LABADIE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 E CHICAGO AVE
Mailing Address - Street 2:
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60521-4237
Mailing Address - Country:US
Mailing Address - Phone:630-986-0673
Mailing Address - Fax:630-986-0015
Practice Address - Street 1:304 E CHICAGO AVE
Practice Address - Street 2:
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-4237
Practice Address - Country:US
Practice Address - Phone:630-986-0673
Practice Address - Fax:630-986-0015
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-07
Last Update Date:2013-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0190174091223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice