Basic Information
| Provider Information | |||||||||
| NPI: | 1417967829 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HASPEL | ||||||||
| FirstName: | LAWRENCE | ||||||||
| MiddleName: | U | ||||||||
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| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3615 PARK DR | ||||||||
| Address2: | SUITE 203 | ||||||||
| City: | OLYMPIA FIELDS | ||||||||
| State: | IL | ||||||||
| PostalCode: | 604611186 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7087489800 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3800 W 203RD ST | ||||||||
| Address2: | STE 202 | ||||||||
| City: | OLYMPIA FIELDS | ||||||||
| State: | IL | ||||||||
| PostalCode: | 604611184 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7087470461 | ||||||||
| FaxNumber: | 7087474704 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/08/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0000X | IL | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
No ID Information.