LaBoure Outpatient – Internal Medicine Physician, NPI 1124116876

LaBoure Outpatient is a healthcare provider. based in Chicago, Illinois. specializing in Internal Medicine Physician. The NPI Number for LaBoure Outpatient is 1124116876

Main info

Organization
Name
LaBoure Outpatient
NPI
1124116876
Phone
(773) 665-3080
Address
2900 NORTH LAKESHORE DRIVE
Authorized Official
MRS. MELVONNE WICKLIFFE-JONES CREDENTIALING MGR
Enumeration Date
10 October 2006
Last Update Date
11 April 2013
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness80
Years active:19State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for LaBoure Outpatient

  • North Columbus Drive, Lakeshore East, Loop, Chicago, South Chicago Township, Cook County, Illinois, 60611, United States

    1ST FLOOR CLINIC

    CHICAGO, IL 606570000

    Phone: (773) 665-3080

    Fax: (773) 665-3498

    Type: Location

  • 1000, Remington Boulevard, Bolingbrook, Will County, Illinois, 60440, United States

    SUITE 100

    BOLINGBROOK, IL 604400000

    Phone: (630) 914-2417

    Fax: (630) 914-2499

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60657)

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Reviews

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Frequently asked questions

Can I use this page to confirm LaBoure Outpatient's NPI?
Yes. LaBoure Outpatient is listed with NPI 1124116876 in the public NPI dataset.
Is LaBoure Outpatient listed as active for patients and plans?
The listing shows LaBoure Outpatient as active in the NPI system.
What healthcare role does LaBoure Outpatient hold?
Scheduling teams often label LaBoure Outpatient under Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect LaBoure Outpatient on a map?
Expect Chicago, Illinois as a primary anchor for LaBoure Outpatient unless the record lists multiple sites.
Is the information about LaBoure Outpatient up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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