Great Heights Otp
Methadone Clinic · Ottawa, IL
Practice location
315 E McKinley RdOttawa, IL 61350-4805
- Phone
- (815) 434-0228
NPI record
- NPI
- 1881139418
- Entity type
- Organization (Type 2)
- Enumeration date
- January 6, 2017
- Last updated
- December 19, 2019
- Certified
- December 19, 2019
- Organization subpart
- Yes
- Parent organization
- Great Heights Otp
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Methadone Clinic Primary | 261QM2800X |
— | — |
Authorized official
- Name
- Adeyemi Fatoki, MD
- Title
- Owner
- Phone
- (312) 952-9378
Other names
- Great Heights OTP Ottawa
- Great Heights Family Medicine, Ottawa NTP
- Great Heights Family Medicine, Ottawa NTP
About Great Heights Otp
Great Heights Otp is a healthcare organization registered in the NPI registry with the primary taxonomy Methadone Clinic (code 261QM2800X). The practice location is 315 E McKinley Rd, Ottawa, IL 61350-4805. The NPI number 1881139418 was assigned on January 6, 2017 and the record was last updated on December 19, 2019.
The authorized official for this organization is Adeyemi Fatoki, MD, Owner.
Frequently asked questions
What is the NPI number of Great Heights Otp?
The NPI number is 1881139418.
What is the phone number of Great Heights Otp?
The phone number listed for the practice location is (815) 434-0228.
Where is Great Heights Otp located?
315 E McKinley Rd, Ottawa, IL 61350-4805.
What is the taxonomy code for Great Heights Otp?
The primary taxonomy code is 261QM2800X – Methadone Clinic.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.