Organization Active NPI

Carehaven Medical Illinois PLLC

  • Internal Medicine Physician
  • Oakbrook Terrace, IL
National Provider Identifier
1639076078
Registry record updated Oct 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2026

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.