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Individual

RYAN JOSEPH HASKAMP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2875 W 19TH ST, CHICAGO, IL 60623-3501
(773) 484-1000
Mailing address
2020 DELMAR BLVD, APT # N502, SAINT LOUIS, MO 63103-1655
(660) 728-2345

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036147095
IL

Other

Enumeration date
06/25/2015
Last updated
12/02/2018
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