GREATER HEIGHTS P MEDICAL SERVICES NPI 1568099307

NPI Information

NPI: 1568099307
Provider Name: GREATER HEIGHTS P MEDICAL SERVICES
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
1005 S EVERGREEN AVE
ARLINGTON HEIGHTS, IL
ZIP 60005
Phone: (847) 749-0542
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GREATER HEIGHTS P MEDICAL SERVICES is an adult mental health clinic center in Arlington Heights, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. GREATER HEIGHTS P MEDICAL SERVICES NPI is 1568099307. The provider is registered as an organization entity type.

The provider's business location address is:

1005 S EVERGREEN AVE
ARLINGTON HEIGHTS, IL
ZIP 60005-144
Phone: (847) 749-0542
Fax: (630) 451-9896

The provider's authorized official is Mary Odefadehan .
The authorized official title is Manager and has the following contact phone number (224) 659-2484.

The enumeration date for this NPI number is 3/23/2020 and was last updated on 4/7/2020.

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	261QM0850X	Clinic/Center	Adult Mental Health			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	1063900603	MEDICAID	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: 11/14/2023

NPI Synchronization or Removal

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