Great Heights Medical LTD.

Primary specialty

Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X

Legal business name

GREAT HEIGHTS MEDICAL LTD.

Practice address

315 E McKinley Rd
Ottawa, IL 61350-4805

Phone

(815) 434-0228

NPI assigned

May 17, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Adeyemi Fatoki, MDNPI 1760449938

Title

Owner

Phone

(708) 862-8156

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

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

• Adeyemi Oludare Fatoki, M.D.

  • Addiction Medicine (Preventive Medicine) Physician
  • Ottawa, IL
  • NPI 1760449938
  Medicare reassignment NPD Authorized official
• Pamela Diane Brantley, NP

  • Family Nurse Practitioner
  • Calumet City, IL
  • NPI 1467123448
  Medicare reassignment

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

{
    "created_epoch": "1494979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744675200000",
    "number": "1609303940",
    "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": "708-862-8156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E MCKINLEY RD",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613504805",
            "telephone_number": "815-434-0228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1473 Ring Rd",
            "address_purpose": "LOCATION",
            "city": "Calumet City",
            "state": "IL",
            "postal_code": "604095459",
            "country_code": "US",
            "telephone_number": "708-862-8156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GREAT HEIGHTS MEDICAL LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-17",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A",
        "authorized_official_last_name": "FATOKI",
        "authorized_official_first_name": "ADEYEMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-862-8156",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2083A0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036084729",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mostafa Ghanim, MD
• Linda Christine Gjerde, MSO/LCSW
• Michael Lawrence Glavin, MD
• German Gonzalo, MD
• Diana Goodwine, MD
• Great Heights Otp
• Tiffany Reenae Green, RN
• Dontae Greenfield
• Robert Matthew Gretencord, D.C.
• Rodney Arthur Griffis, CRNA

• Addiction Medicine (Preventive Medicine) Physician in Ottawa, IL
• Providers in Ottawa, IL by specialty
• Addiction Medicine (Preventive Medicine) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.