Organization Active NPI

Haven Medicine LLC

  • Addiction Medicine (Family Medicine) Physician
  • Arlington Heights, IL
National Provider Identifier
1447847355
Registry record updated Jan 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
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

Updated by the provider on Jan 3, 2021

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)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.