GREAT HEIGHTS OTP NPI 1881139418

NPI Information

  • NPI: 1881139418
  • Provider Name: GREAT HEIGHTS OTP
  • Classification: Clinic/Center - 261QM2800X
  • Specialization: Methadone
  • Entity Type: Organization
  • Other Name: GREAT HEIGHTS FAMILY MEDICINE, OTTAWA NTP
  • Address: 315 E MCKINLEY RD
    OTTAWA, IL
    ZIP 61350
  • Phone: (815) 434-0228

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NPI Details

GREAT HEIGHTS OTP is a methadone clinic center in Ottawa, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. GREAT HEIGHTS OTP NPI is 1881139418. The provider is registered as an organization entity type.
The provider Other Name Is Great Heights Family Medicine, Ottawa Ntp.

The provider's business location address is:

315 E MCKINLEY RD
OTTAWA, IL
ZIP 61350-805
Phone: (815) 434-0228

The provider's authorized official is Adeyemi Fatoki .
The authorized official title is Owner and has the following contact phone number (312) 952-9378.

The enumeration date for this NPI number is 1/6/2017 and was last updated on 12/19/2019.

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
1261QM2800XClinic/CenterMethadoneYes

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
1A-6548-0002-AOTHERILLINOISSUPR

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: 11/21/2025

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