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NPI Code Detail

MEDICARE: MR. HAVEN JAMES WINTER

MEDICARE:  MR. HAVEN JAMES WINTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker149041196IL

General Provider Information

NPI Number : 1316635592
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. HAVEN JAMES WINTER
Provider Business Mailing Address
First Line : 4829 N KIMBALL AVE APT 1
Second Line :
City : CHICAGO
State : IL
Zip : 60625-5181
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2295 VALLEY CREEK DR STE I
Second Line :
City : ELGIN
State : IL
Zip : 60123-2694
Country : US
Telephone Number : 630-566-4673
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2023
Last Update Date : 06/05/2026

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Directions to “ MR. HAVEN JAMES WINTER ” Practice Location

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