Organization
GREAT HEIGHTS FAMILY MEDICINE LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADEYEMI OLUDARE FATOKI M.D. (PRESIDENT)
(708) 862-8156
Entity
Organization
Contact information
Practice address
1473 RING RD, CALUMET CITY, IL 60409-5459
(312) 952-9378
(708) 862-8105
Mailing address
1473 RING RD, CALUMET CITY, IL 60409-5459
(312) 952-9378
(708) 862-8105
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
65528584
IL
Other
Enumeration date
04/26/2007
Last updated
01/23/2017
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