Provider Demographics
NPI:1437327020
Name:LABABIDY, MUHAMMED SALAH (MD)
Entity Type:Individual
Prefix:DR
First Name:MUHAMMED
Middle Name:SALAH
Last Name:LABABIDY
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Gender:M
Credentials:MD
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Mailing Address - Street 1:903 129TH INFANTRY DR
Mailing Address - Street 2:SUITE 400
Mailing Address - City:JOLIET
Mailing Address - State:IL
Mailing Address - Zip Code:60435-3171
Mailing Address - Country:US
Mailing Address - Phone:815-725-2653
Mailing Address - Fax:815-744-3232
Practice Address - Street 1:1300 COPPERFIELD AVE
Practice Address - Street 2:SUITE 4060
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60432-2004
Practice Address - Country:US
Practice Address - Phone:815-740-1301
Practice Address - Fax:815-723-6778
Is Sole Proprietor?:No
Enumeration Date:2008-02-15
Last Update Date:2008-07-23
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Provider Licenses
StateLicense IDTaxonomies
IL036119353207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILR01493Medicare PIN
ILR01492Medicare PIN