Provider Demographics
NPI:1982436549
Name:LABEDZ NATUROPATHIC HEALTH, LLC
Entity type:Organization
Organization Name:LABEDZ NATUROPATHIC HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:LABEDZ
Authorized Official - Suffix:
Authorized Official - Credentials:ND, MA, LCPC
Authorized Official - Phone:312-972-3179
Mailing Address - Street 1:150 RIVERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:IL
Mailing Address - Zip Code:60538-1231
Mailing Address - Country:US
Mailing Address - Phone:312-972-3179
Mailing Address - Fax:
Practice Address - Street 1:12337 S ROUTE 59 UNIT 121
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60585-4626
Practice Address - Country:US
Practice Address - Phone:312-463-9434
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-14
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty