Provider Demographics
NPI:1588737779
Name:HAROLD J. LASKY, M.D. LTD.
Entity type:Organization
Organization Name:HAROLD J. LASKY, M.D. LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:JULIUS
Authorized Official - Last Name:LASKY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-869-2108
Mailing Address - Street 1:716 ROSLYN TER
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60201-1722
Mailing Address - Country:US
Mailing Address - Phone:847-869-2108
Mailing Address - Fax:847-869-9702
Practice Address - Street 1:1182 NORTHBROOK CT
Practice Address - Street 2:
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-1435
Practice Address - Country:US
Practice Address - Phone:847-509-1818
Practice Address - Fax:847-509-1882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL353770Medicare ID - Type Unspecified