Active NPI
Martin John Labuda Jr., D.C
- Chiropractor
- Chicago, IL
National Provider Identifier
1841316973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038-009597
- Practice address
- 3832 N Broadway St
Chicago, IL 60613-3218 - Phone
- (773) 296-2225
- Fax
- (773) 296-0731
- NPI assigned
- Mar 21, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038-009597 | IL | Primary |
| Sports Physician Chiropractor | 111NS0005X | 038-009597 | IL |
Addresses
Primary practice location
3832 N Broadway St
Chicago, IL 60613-3218
Mailing address
3832 N Broadway St
Chicago, IL 60613-3218
Phone (773) 296-2225
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4063763 | Other | IL | CIGNA PIN |
| 01632439 | Other | IL | BLUE CROSS BLUE SHIELD # |
| IL7546001 | Other | IL | MEDICARE INDIVIDUAL PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3832 N Broadway St
Chicago, IL 60613-3218
Phone (773) 296-2225
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038-009597 | IL | MD | Sports Physician Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martin J. Labuda, DC, PC | Chiropractor | Current | Accepting new patients |
| Paul T. Hackett D.C., P.C. | Chiropractor | Past | Accepting new patients |
Locations
3832 N Broadway St
Chicago, IL 60613
Phone (773) 296-2225
Organizations & group practices 2
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.
-
- Chiropractor
- Chicago, IL
- NPI 1720280779
-
- Chiropractor
- Chicago, IL
- NPI 1841492808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468368000000",
"number": "1841316973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3832 N BROADWAY ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606133218",
"telephone_number": "773-296-2225",
"fax_number": "773-296-0731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3832 N BROADWAY ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606133218",
"telephone_number": "773-296-2225",
"fax_number": "773-296-0731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LABUDA",
"first_name": "MARTIN",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-21",
"last_updated": "2016-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038-009597",
"primary": true
},
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "IL",
"license": "038-009597",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PIN",
"identifier": "4063763",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD #",
"identifier": "01632439",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE INDIVIDUAL PTAN",
"identifier": "IL7546001",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.