Great Heights Otp

NPI #1881139418 in Ottawa, Illinois

Provider Information

NPI Number
1881139418
Entity Type
Organization
Organization Name
Great Heights Otp
Subpart
Yes (part of a larger organization)
Parent Organization
GREAT HEIGHTS OTP
Primary Specialty
Clinic/Center - Methadone
Enumeration Date
Jan 6, 2017
Last Updated
Dec 19, 2019

Practice Location

Address
315 E MCKINLEY RD
City
Ottawa
ZIP Code
61350-4805
Phone
(815) 434-0228

Authorized Official

Name
ADEYEMI FATOKI, MD
Title
OWNER
Phone
(312) 952-9378

Specialties & Taxonomy Codes

Specialty
Clinic/Center - MethadoneMethadone

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