Active NPI
Carehaven Medical Illinois PLLC
- Internal Medicine Physician
- Oakbrook Terrace, IL
National Provider Identifier
1639076078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- CAREHAVEN MEDICAL ILLINOIS PLLC
- Practice address
- 1S443 Summit Ave Ste 203
Oakbrook Terrace, IL 60181-3972 - Phone
- (630) 791-5400
- NPI assigned
- Oct 20, 2026
- Last updated
- Oct 20, 2026
- 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
- Azlan Tariq, DO
- Title
- Provider
- Phone
- (630) 791-5400
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Physical Medicine & Rehabilitation Physician | 208100000X | |||
| Case Management Agency | 251B00000X | |||
| Medical Specialty Clinic/Center | 261QM2500X |
Addresses
Primary practice location
1S443 Summit Ave Ste 203
Oakbrook Terrace, IL 60181-3972
Mailing address
1S443 Summit Ave Ste 203
Oakbrook Terrace, IL 60181-3972
Phone (630) 791-5400
National Provider Directory
National Provider DirectoryLocations
1S443 Summit Ave
Ste 203
Oakbrook Terrace, IL 60181
Phone (630) 678-9240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792454400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1792454400000",
"number": "1639076078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1S443 SUMMIT AVE STE 203",
"city": "OAKBROOK TERRACE",
"state": "IL",
"postal_code": "601813972",
"telephone_number": "630-791-5400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1S443 SUMMIT AVE STE 203",
"city": "OAKBROOK TERRACE",
"state": "IL",
"postal_code": "601813972",
"telephone_number": "630-791-5400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAREHAVEN MEDICAL ILLINOIS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-20",
"last_updated": "2026-10-20",
"certification_date": "2026-10-20",
"status": "A",
"authorized_official_last_name": "TARIQ",
"authorized_official_first_name": "AZLAN",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "630-791-5400",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakbrook Terrace, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.