Provider Demographics
NPI:1932553583
Name:LABABIDI, ANAS (MD)
Entity Type:Individual
Prefix:DR
First Name:ANAS
Middle Name:
Last Name:LABABIDI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:ANAS
Other - Middle Name:
Other - Last Name:ALLABABIDI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6638 BENTLEY AVE
Mailing Address - Street 2:
Mailing Address - City:DARIEN
Mailing Address - State:IL
Mailing Address - Zip Code:60561-3807
Mailing Address - Country:US
Mailing Address - Phone:630-947-3349
Mailing Address - Fax:
Practice Address - Street 1:3815 HIGHLAND AVE STE AIP
Practice Address - Street 2:
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60515-1500
Practice Address - Country:US
Practice Address - Phone:630-275-7100
Practice Address - Fax:630-275-7140
Is Sole Proprietor?:No
Enumeration Date:2016-04-20
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.137539207RP1001X, 207RC0200X
IL036137539207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036137539OtherLICENSE