Great Heights Family Medicine LTD.

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

License

65528584 Issued in IL

Legal business name

GREAT HEIGHTS FAMILY MEDICINE LTD.

Practice address

1473 Ring Rd
Calumet City, IL 60409-5459

Phone

(312) 952-9378

Fax

(708) 862-8105

NPI assigned

Apr 26, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Adeyemi Oludare Fatoki, M.D.

Title

President

Phone

(708) 862-8156

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Theresa Ibeabuchi, NURSE PRACTITIONER

  • Family Medicine Physician
  • Calumet City, IL
  • NPI 1073810271
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485129600000",
    "number": "1285854067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1473 RING RD",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "604095459",
            "telephone_number": "312-952-9378",
            "fax_number": "708-862-8105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1473 RING RD",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "604095459",
            "telephone_number": "312-952-9378",
            "fax_number": "708-862-8105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT HEIGHTS FAMILY MEDICINE LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2017-01-23",
        "status": "A",
        "authorized_official_last_name": "FATOKI",
        "authorized_official_first_name": "ADEYEMI",
        "authorized_official_middle_name": "OLUDARE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-862-8156",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "IL",
            "license": "65528584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Goldman, M.D.
• Goodly Heritage LLC
• Grand Prairie Services
• Grand Prairie Services
• Wayne S Gray, O.D.
• Great Heights Otp
• Great Heights Professional Services Inc
• Great Minds Healthcare Services LLC
• Great Minds Healthcare Services LLC
• Latrease N Green

• Addiction Medicine (Family Medicine) Physician in Calumet City, IL
• Providers in Calumet City, IL by specialty
• Addiction Medicine (Family Medicine) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.