GREAT HEIGHTS OTP (NPI# 1720516099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720516099 |
| Entity Type | Organization |
| Organization Name | GREAT HEIGHTS OTP |
| Practice Address |
1473 Ring Rd Calumet City IL 60409-5459 |
| Practice Telephone | 7088628156 |
| Mailing Telephone | 7088628156 |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2019-12-19 |
| Authorized Official Name | DR. ADEYEMI FATOKI (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7088628156 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 315 E Mckinley Rd, Ottawa, IL 613504805 | 8154340228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881139418 | Great Heights Otp | Clinic/Center | 315 E Mckinley Rd, Ottawa, IL 61350-4805 | 2017-01-06 |
| 1659816874 | Great Heights Otp | Clinic/Center | 1473 Ring Rd, Calumet City, IL 60409-5459 | 2016-12-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GREAT HEIGHTS OTP., LLC | 315 E Mckinley Rd, Ottawa, IL 61350-4805 |
| Street Address |
1473 RING RD |
| City | CALUMET CITY |
| State | IL |
| Zip Code | 60409-5459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356339790 | Hansers Associates | Family Medicine | 1473 Ring Rd, Calumet City, IL 60409-5459 | 2005-10-10 |
| 1952808610 | Sonya Delaine Willis | Counselor | 1473 Ring Rd, Calumet City, IL 60409-5459 | 2018-04-10 |
| 1750881611 | Martha Elaine Clark | Counselor | 1473 Ring Rd, Calumet City, IL 60409-5459 | 2018-02-17 |
| 1659816874 | Great Heights Otp | Clinic/Center | 1473 Ring Rd, Calumet City, IL 60409-5459 | 2016-12-23 |
| 1063956894 | Laconyer Davis | Counselor | 1473 Ring Rd, Great Heights Family Medicine, Calumet City, IL 60409-5459 | 2016-12-13 |
| 1851683536 | Margaret Okodua | Nurse Practitioner | 1473 Ring Rd, Calumet City, IL 60409-5459 | 2011-05-12 |
| 1255621314 | Maricel M Sullivan | Nurse Practitioner | 1473 Ring Rd, Calumet City, IL 60409-5459 | 2011-04-11 |
| 1073810271 | Theresa Ibeabuchi | Family Medicine | 1473 Ring Rd, Calumet City, IL 60409-5459 | 2011-02-24 |
| 1154539435 | Comprehensive Medical Management Services Ltd | Family Medicine | 1473 Ring Rd, Calumet City, IL 60409-5459 | 2007-05-18 |
| 1285854067 | Great Heights Family Medicine Ltd. | Family Medicine | 1473 Ring Rd, Calumet City, IL 60409-5459 | 2007-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689159832 | Victory Pharmacy of Decatur Inc | Pharmacy | 1837 River Oaks Rd, Calumet City, IL 60409 | 2018-10-03 |
| 1801336961 | It's About Change Sober Living, Inc. | Community/Behavioral Health | 1604 Horbor St., Calumet City, IL 60409 | 2017-03-08 |
| 1750832986 | Jeffrey Mcneil | Social Worker | 660 Memorial Dr., Calumet City, IL 60409 | 2016-10-24 |
| 1578855219 | Cherechi V Onyenso | Nurse Practitioner | 1473 Ring Ring Road, Great Heights Family Medicine, Calumet City, IL 60409 | 2011-05-13 |
| 1205097607 | Michael Peter Weisberg | Ophthalmology | 1700 East West Road, Calumet City, IL 60409 | 2008-06-19 |
| 1861694333 | County of Cook | Local Education Agency (LEA) | 1255 Superior Ave, Calumet City, IL 60409 | 2007-06-05 |
| 1689875585 | Calumet City School District #155 | Local Education Agency (LEA) | Memorial Dr and Superior, Calumet City, IL 60409 | 2007-05-29 |
| 1932224185 | Micah K Swansey Sr. | Psychologist | 593 Burnham Avenue, Calumet City, IL 60409 | 2007-03-20 |
| 1184768210 | Beverly Williamson | Optometrist | 200 River Oaks Drive, Calumet City, IL 60409 | 2007-02-20 |
| 1205978863 | Dillons Dental Services LLC | Dentist | 2000 E 159th St, Calumet City, IL 60409 | 2007-02-12 |
| Find all providers in zip 60409 | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659816874 | Great Heights Otp | Clinic/Center | 1473 Ring Rd, Calumet City, IL 60409-5459 | 2016-12-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245862457 | Jem Treatment, Inc | Clinic/Center | 2424 Washington St Ste Ll-110, Waukegan, IL 60085-5074 | 2020-02-05 |
| 1124659123 | Lake County Center, LLC | Clinic/Center | 310 S Greenleaf St Ste 206207, Gurnee, IL 60031-5708 | 2020-01-29 |
| 1750883286 | Buena Vista Group, LLC | Clinic/Center | 418 Dixie Hwy, Chicago Heights, IL 60411-1739 | 2018-02-28 |
| 1518485960 | The Bobby Buonauro Clinic | Clinic/Center | 1029 Howard St Ste 303, Evanston, IL 60202-3877 | 2017-09-06 |
| 1689196578 | Serenity Treatment and Counseling Center Inc | Clinic/Center | 19408 North Creek Drive, Lynwood, IL 60411-8649 | 2017-07-12 |
| 1699296129 | Loren 'half' Robinson Foundation | Clinic/Center | 4100 W Ogden Ave, Chicago, IL 60623-2821 | 2017-07-06 |
| 1942744453 | Recovery Concepts LLC | Clinic/Center | 17100 Dixie Hwy, Suite D & E, Hazel Crest, IL 60429-1485 | 2016-12-19 |
| 1184022303 | Renewed Hope Community Services Inc. | Clinic/Center | 626 E 71st St, Chicago, IL 60619-1212 | 2014-12-22 |
| 1316296007 | Sundance Methadone Treatment Center,llc | Clinic/Center | 4545 N Broadway St, 3rd Floor, Chicago, IL 60640-5975 | 2012-09-10 |
| 1790030344 | Ijegba Community Inc | Clinic/Center | 1950 E 75th St, Chicago, IL 60649-3633 | 2012-07-19 |
| Find all providers with the same taxonomy | ||||
| City | CALUMET CITY |
| Zip Code | 60409 |
Please comment or provide details below to improve the information on GREAT HEIGHTS OTP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.