Organization
CARDIOSPECIALISTS GROUP LTD
Active
Other names
MIdwest Arrhythmia
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE U HASPEL DO (MANAGING PARTNER / PRESIDENT)
(708) 748-9800
Entity
Organization
Contact information
Practice address
375 N WALL ST, SUITE 420, KANKAKEE, IL 60901-3483
(815) 939-9400
(815) 939-9494
Mailing address
PO BOX 97680, CHICAGO, IL 60678-7680
(708) 748-9800
(708) 748-9807
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21608902
BC BS OF IL
IL
Enumeration date
08/31/2006
Last updated
10/22/2007
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