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Contact Information

MICHAEL A HAVENS, MD
6528 N OLYMPIA AVE
CHICAGO, IL60631-1520
 Phone: 773-792-8112
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
 

Cytopathology

207ZC0500X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for MICHAEL A HAVENS · (Male)

NPI # 1619128923
Status Active
Credentials MD
Entity Individual
Enumeration date 10/06/2008
Last updated 01/24/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 036120021
Hospital affiliation(s)
  • RESURRECTION MEDICAL CENTER - (Acute Care)
    7435 W TALCOTT AVENUE
    CHICAGO, IL 60631
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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