Individual
MR. HAVEN JAMES WINTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2295 VALLEY CREEK DR STE I, ELGIN, IL 60123-2694
(630) 566-4673
Mailing address
4829 N KIMBALL AVE APT 1, CHICAGO, IL 60625-5181
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.113272
IL
Other
Enumeration date
04/26/2023
Last updated
02/11/2025
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