Health Haven Medical INC
Clinical Medical Laboratory in Chicago, IL. Organization (NPI-2).
NPI number1982575015
StatusActive
Last updated in NPPESSep 12, 2025
Details
- NPI
- 1982575015
- Entity type
- Organization (NPI-2)
- Legal business name
- Health Haven Medical INC
- Organization subpart
- No
- Enumeration date
- Sep 12, 2025
- Certification date
- Sep 12, 2025
- Last updated
- Sep 12, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | – | – | Yes |
Practice location
6209 N Fairfield Ave Apt 1Chicago, IL 60659-3558
Phone 332-205-8825
Mailing address
6209 N Fairfield Ave Apt 1Chicago, IL 60659-3558
Authorized official
Mohammed Hasnain Ali
Owner
3322058825
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