GREAT HEIGHTS FAMILY MEDICINE LTD.
NPI 1285854067
Family Medicine - Addiction Medicine in Calumet City, IL

Active since April 26, 2007CLIA 14D2215256 · Waiver
1473 RING RD, CALUMET CITY, IL 60409(312) 952-9378(708) 862-8105 Get Directions Write a Review

NPPES record last updated: January 23, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 23, 2017, Dec 26, 2016 (2 updates tracked since 2016).

About Great Heights Family Medicine Ltd. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREAT HEIGHTS FAMILY MEDICINE LTD. (NPI 1285854067) is a healthcare organization registered as an addiction medicine in Calumet City, Illinois and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through March 1, 2027 and lists Adeyemi Oludare Fatoki, President, as its authorized official.

NPPES Registry Identity

NPI1285854067
Entity TypeOrganization
Primary Taxonomy207QA0401X
Legal Business NameGREAT HEIGHTS FAMILY MEDICINE LTD.
Location Address1473 RING RDCalumet City, IL 60409-5459
Mailing Address1473 Ring RdCalumet City, IL 60409-5459 · (312) 952-9378 · Fax (708) 862-8105
Fax(708) 862-8105
Organization SubpartNo
Authorized OfficialAdeyemi Oludare FatokiPresident · (708) 862-8156
Enumeration DateApril 26, 2007
Last NPPES UpdateJanuary 23, 20172 updates tracked since enumeration
NPI 1285854067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
License Licensed in IL · 65528584
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
1473 RING RD, Calumet City, IL 60409

Other Identifiers 1

Medicare PINF100356658IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2215256

Great Heights O T P · Calumet City, IL
Active · expires Mar 1, 2027
CLIA Number14D2215256
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateMarch 2, 2025
Certificate Expiration DateMarch 1, 2027
Laboratory DirectorAdeyemi O. Fatoki
Laboratory Phone(708) 862-8156
Laboratory LocationGreat Heights O T P1473 Ring Rd, Calumet City, IL 60409
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
1473 RING RD, GREAT HEIGHTS FAMILY MEDICINE
CALUMET CITY, IL 60409
Family Medicine
1473 RING RD
CALUMET CITY, IL 60409
Psychiatry & Neurology (Addiction Medicine)
1473 RING RD
CALUMET CITY, IL 60409
Family Medicine (Geriatric Medicine)
1473 RING RD
CALUMET CITY, IL 60409
Family Medicine
1473 RING RD
CALUMET CITY, IL 60409
Nurse Practitioner (Family)
1473 RING RD
CALUMET CITY, IL 60409
Clinic/Center (Methadone)
1473 RING RD
CALUMET CITY, IL 60409
Family Medicine
1473 RING RD
CALUMET CITY, IL 60409

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Great Heights Family Medicine Ltd.'s NPI number?

The NPI number for Great Heights Family Medicine Ltd. is 1285854067. It was assigned to this organization in the NPPES registry on April 26, 2007.

Where is Great Heights Family Medicine Ltd. located?

Great Heights Family Medicine Ltd. is located at 1473 Ring Rd, Calumet City, IL 60409. The listed phone number is (312) 952-9378.

What is Great Heights Family Medicine Ltd.'s specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Does Great Heights Family Medicine Ltd. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2215256) is associated with this NPI, valid through March 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Great Heights Family Medicine Ltd. was last updated on January 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.