Organization
GREAT HEIGHTS FAMILY MEDICINE LTD.
Active
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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