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Great Heights Otp — NPI 1881139418, Ottawa, IL | NPI Central

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NPI 1881139418

OrganizationActive

Great Heights Otp

NPI 1881139418 · Methadone Clinic · Ottawa, IL

Provider details

NPI number: 1881139418
Entity type: Organization
Primary specialty: Methadone ClinicAmbulatory Health Care Facilities
Parent organization: Great Heights Otp
Organization subpart: Yes
Authorized official: Adeyemi Fatoki, Owner(312) 952-9378

Specialties & taxonomies

Methadone ClinicPrimary261QM2800X
Ambulatory Health Care Facilities

Practice location

315 E Mckinley Rd

Ottawa, IL 61350-4805

Phone: (815) 434-0228

Approximate (ZIP-level) locationGet directions

More IL providers

Mailing address

315 E Mckinley Rd

Ottawa, IL 61350-4805

Other names (DBA / former)

Other name: Great Heights Family Medicine, Ottawa Ntp
Other name: Great Heights Family Medicine, Ottawa Ntp
Doing business as: Great Heights Otp Ottawa

Registry dates

Enumerated: 2017-01-06
Last updated: 2019-12-19
Certified: 2019-12-19

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.