GREAT HEIGHTS FAMILY MEDICINE LTD. NPI 1285854067

NPI Information

NPI: 1285854067
Provider Name: GREAT HEIGHTS FAMILY MEDICINE LTD.
Classification: Family Medicine - 207QA0401X
Entity Type: Organization

Specialization: Addiction Medicine

Address:
1473 RING RD
CALUMET CITY, IL
ZIP 60409
Phone: (312) 952-9378
Get Directions

GREAT HEIGHTS FAMILY MEDICINE LTD. is an addiction medicine family medicine in Calumet City, IL. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. GREAT HEIGHTS FAMILY MEDICINE LTD. NPI is 1285854067. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1473 RING RD
CALUMET CITY, IL
ZIP 60409-459
Phone: (312) 952-9378
Fax: (708) 862-8105

The provider's authorized official is Adeyemi Oludare Fatoki .
The authorized official title is President and has the following contact phone number (708) 862-8156.

The enumeration date for this NPI number is 4/26/2007 and was last updated on 1/23/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207QA0401X	Family Medicine	Addiction Medicine	65528584	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	F100356658	MEDICARE PIN	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »