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HAVEN MEDICINE LLC NPI 1447847355


NPI Information

NPI: 1447847355
Provider Name: HAVEN MEDICINE LLC
Classification: Family Medicine - 207QA0401X
Entity Type: Organization

Specialization: Addiction Medicine

CLIA Number: 14D2208658

Address:
3255 N ARLINGTON HEIGHTS RD STE 508
ARLINGTON HEIGHTS, IL
ZIP 60004
Phone: (312) 725-2485
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HAVEN MEDICINE LLC is an addiction medicine family medicine in Arlington Heights, IL. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. HAVEN MEDICINE LLC NPI is 1447847355. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3255 N ARLINGTON HEIGHTS RD STE 508
ARLINGTON HEIGHTS, IL
ZIP 60004-586
Phone: (312) 725-2485
Fax: (773) 825-8421

The provider's authorized official is Beth Ann Dunlap .
The authorized official title is Medical Director and has the following contact phone number (312) 725-2485.

The CLIA number assigned to this NPI record is 14D2208658 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/26/2020 and was last updated on 1/3/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QA0401XFamily MedicineAddiction MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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