Individual
DR. MICHAEL ANDREW HAVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6528 N OLYMPIA AVE, CHICAGO, IL 60631-1520
(773) 792-8112
Mailing address
1000 N WESTMORELAND RD # LL0519, LAKE FOREST, IL 60045-1658
(847) 535-6218
(847) 535-6237
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
036120021
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036120021
IL
Other
Enumeration date
10/06/2008
Last updated
01/24/2024
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