Great Heights Family Medicine, Ottawa Ntp

LBN: Great Heights Otp
Great Heights Family Medicine, Ottawa Ntp is an health care organization with primary practice located at 315 E Mckinley Rd , Ottawa IL 61350-4805. 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 (815) 434-0228, or through Fatoki, Adeyemi via phone (312) 952-9378.

Contact Information

Primary practice address
315 E Mckinley Rd Ottawa IL 61350-4805
Phone: (815) 434-0228
Fax:
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

Profile Details

NPI number 1881139418
LBN Legal business name Great Heights Otp
DBA Doing business as Great Heights Family Medicine, Ottawa Ntp
Authorized official Fatoki, Adeyemi Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 6th, 2017
Last updated Dec 19th, 2019 - about 6 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 1881139418 NPPES
Illinois Other A-6548-0002-A SUPR

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