Provider Demographics
NPI:1679685705
Name:CARDIOSPECIALISTS GROUP LTD
Entity Type:Organization
Organization Name:CARDIOSPECIALISTS GROUP LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND MANAGING PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:U
Authorized Official - Last Name:HASPEL
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:708-748-9800
Mailing Address - Street 1:PO BOX 97680
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60678-7680
Mailing Address - Country:US
Mailing Address - Phone:708-748-9800
Mailing Address - Fax:708-748-9807
Practice Address - Street 1:801 MACARTHUR BLVD
Practice Address - Street 2:SUITE 203
Practice Address - City:MUNSTER
Practice Address - State:IN
Practice Address - Zip Code:46321
Practice Address - Country:US
Practice Address - Phone:219-836-9390
Practice Address - Fax:219-836-9392
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2007-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Multi-Specialty
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
No207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac ElectrophysiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
INCA4855OtherRR MEDICARE
IN406310Medicare PIN