Organization
GREATER HEIGHTS P MEDICAL SERVICES
Active
Other names
Greater Heights P Medical services
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ODEFADEHAN APRN (MANAGER)
(224) 659-2484
Entity
Organization
Contact information
Practice address
1005 S EVERGREEN AVE, ARLINGTON HEIGHTS, IL 60005-3144
(847) 749-0542
(630) 451-9896
Mailing address
1005 S EVERGREEN AVE, ARLINGTON HEIGHTS, IL 60005-3144
(847) 749-0542
(630) 451-9896
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063900603
—
IL
Enumeration date
03/23/2020
Last updated
04/07/2020
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