Active NPI
Haven Medicine LLC
- Addiction Medicine (Family Medicine) Physician
- Arlington Heights, IL
National Provider Identifier
1447847355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Family Medicine) Physician
- Legal business name
- HAVEN MEDICINE LLC
- Practice address
- 3255 N Arlington Heights Rd Ste 508
Arlington Heights, IL 60004-1586 - Phone
- (312) 725-2485
- Fax
- (773) 825-8421
- NPI assigned
- Dec 26, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Beth Ann Dunlap, MD
- Title
- Medical Director
- Phone
- (312) 725-2485
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | Primary |
Addresses
Primary practice location
3255 N Arlington Heights Rd Ste 508
Arlington Heights, IL 60004-1586
Mailing address
2120 W Estes Ave
Chicago, IL 60645-3502
Phone (312) 569-0467
Other names 1
- Haven Medicine
National Provider Directory
National Provider DirectoryLocations
3255 N Arlington Heights Rd
Ste 508
Arlington Heights, IL 60004
Phone (312) 725-2485
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Burr Ridge, IL
- NPI 1295047553
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1609632000000",
"number": "1447847355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2120 W ESTES AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606453502",
"telephone_number": "312-569-0467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3255 N ARLINGTON HEIGHTS RD STE 508",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600041586",
"telephone_number": "312-725-2485",
"fax_number": "773-825-8421"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAVEN MEDICINE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-26",
"last_updated": "2021-01-03",
"certification_date": "2021-01-03",
"status": "A",
"authorized_official_last_name": "DUNLAP",
"authorized_official_first_name": "BETH",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "312-725-2485",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207QA0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Haven Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Arlington Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.