Dr. Timothy G Havenhill
Orthopaedic Surgeon Orthopaedic Hand Surgeon
420 N Il Route 31
Crystal Lake
, Illinois 60012
Dr. Timothy G Havenhill
Orthopaedic Surgeon Orthopaedic Hand Surgeon
420 N Il Route 31
Crystal Lake
, Illinois 60012
(815) 356-5262
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About
Features
Specialties
- Orthopaedic Surgeon
- Orthopaedic Hand Surgeon
Languages spoken
- English
Location
First Address
- Dr. Timothy G Havenhill
- 420 N Il Route 31
- Crystal Lake, IL
- Zip : 60012-3709
- Fax : (815) 356-5262
- Phone : (815) 356-5200
Second Address
- Dr. Timothy G Havenhill
- 420 N Il Route 31
- Crystal Lake, IL
- Zip : 60012
- Fax : (815) 356-5262
- Phone : (815) 356-5200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgeon | 036112770 | IL |
| Y | 207XS0106X | Orthopaedic Hand Surgeon | 036-112770 | IL |
National Provider Identifier
| NPI | 1124190723 |
|---|---|
| Provider Name | Dr. Timothy G Havenhill |
| First Address | Crystal Lake, IL 60012-3709 |
| Second Address | Crystal Lake, IL 60012 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/11/2006 |
| Last Update Date | 19/10/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036112770 | (05) | IL |
| 036112770 | STATE LICENSE (01) | IL |
| I10861 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.