Israel Disamala Labao, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036077467 Issued in IL

Practice address

5535 W. Cermak Rd
Suite B
Cicero, IL 60804-2218

Phone

(708) 652-5423

Fax

(708) 652-5424

NPI assigned

Aug 9, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Practice

Education

Other, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• ML Medical Services Corporation

  • Primary Care Clinic/Center
  • Cicero, IL
  • NPI 1922280296
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349740800000",
    "number": "1487655726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5535 W. CERMAK RD",
            "address_2": "SUITE B",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608042218",
            "telephone_number": "708-652-5423",
            "fax_number": "708-652-5424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5535 W. CERMAK RD",
            "address_2": "SUITE B",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608042218",
            "telephone_number": "708-652-5423",
            "fax_number": "708-652-5424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABAO",
        "first_name": "ISRAEL",
        "middle_name": "DISAMALA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2012-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036077467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1635391",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Kunce
• Jochen Kurrle
• La Clinica, S.C.
• La Sagrada Familia Medical Clinic LLC
• Tamara Laban, FNP-C
• Jonathan S Labrado Cardenas
• Andrea Lacayo, D.D.S.
• Landmark of Cicero Rehabilitation and Nursing Center LLC (Landmark of Cicero Rehabilitation and Nursing Center)
• Sarah P Lane, PHARMD
• Silvia Lara, FNP

• Family Medicine Physician in Cicero, IL
• Providers in Cicero, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.