Havenhill, Timothy G

Havenhill, Timothy G is an individual health care provider with primary practice located at 420 N Il Route 31 , Crystal Lake IL 60012. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hand Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is his primary health care specialty. Havenhill, Timothy G can be contacted via phone (815) 356-5200.

Contact Information

Primary practice address
420 N Il Route 31 Crystal Lake IL 60012
Phone: (815) 356-5200
Fax: (815) 356-5262
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 036-112770 Illinois
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 036112770 Illinois

Profile Details

NPI number 1124190723
LBN Legal business name Havenhill, Timothy G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2006
Last updated Oct 19th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124190723 NPPES
Illinois Other 036112770 STATE LICENSE
Illinois MEDICAID 036112770 STATE LICENSE

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