Provider Demographics
NPI:1669942512
Name:LABOWICZ, JUSTYNA E
Entity type:Individual
Prefix:
First Name:JUSTYNA
Middle Name:E
Last Name:LABOWICZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2653 N HADDOW AVE
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-2535
Mailing Address - Country:US
Mailing Address - Phone:224-659-4807
Mailing Address - Fax:
Practice Address - Street 1:2653 N HADDOW AVE
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-2535
Practice Address - Country:US
Practice Address - Phone:224-659-4807
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-03
Last Update Date:2025-08-11
Deactivation Date:2018-12-03
Deactivation Code:
Reactivation Date:2025-08-11
Provider Licenses
StateLicense IDTaxonomies
IL057.005015224Z00000X
172A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant
No172A00000XOther Service ProvidersDriver