Great Heights Otp, Calumet City

LBN: Great Heights Otp
Great Heights Otp, Calumet City is an health care organization with primary practice located at 1473 Ring Rd , Calumet City IL 60409-5459. The organization recently has only one registered license in Ambulatory Health Care Facilities / Methadone, which is considered as the primary health care specialty. Great Heights Otp can be contacted via phone (708) 862-8156, or through Fatoki, Adeyemi via phone (312) 952-9378.

Contact Information

Primary practice address
1473 Ring Rd Calumet City IL 60409-5459
Phone: (708) 862-8156
Fax: (708) 862-8105
Website:
Map and Directions
Authorized official contact:
Name: Fatoki, Adeyemi Doctor of Medicine (MD)
Phone: (312) 952-9378

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Methadone 261QM2800X A79840001A Illinois

Profile Details

NPI number 1659816874
LBN Legal business name Great Heights Otp
DBA Doing business as Great Heights Otp, Calumet City
Authorized official Fatoki, Adeyemi Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 23rd, 2016
Last updated Nov 16th, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659816874 NPPES
Illinois Other A-6548-0001-A SUPR

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