Organization
GREAT HEIGHTS OTP
Active
Parent organization
GREAT HEIGHTS OTP
Other names
Great Heights Family Medicine, Ottawa NTP, Great Heights OTP Ottawa
Organization subpart
Yes
Provider details
NPI number
Legal business name
GREAT HEIGHTS OTP
Authorized official
ADEYEMI FATOKI MD (OWNER)
(312) 952-9378
Entity
Organization
Contact information
Practice address
315 E MCKINLEY RD, OTTAWA, IL 61350-4805
(815) 434-0228
Mailing address
315 E MCKINLEY RD, OTTAWA, IL 61350-4805
(815) 434-0228
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A-6548-0002-A
SUPR
IL
Enumeration date
01/06/2017
Last updated
12/19/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us