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GREAT HEIGHTS MEDICAL LTD.
NPI 1609303940
Preventive Medicine - Addiction Medicine in Ottawa, IL

Active since May 17, 2017CLIA Certified · 2 labs
315 E MCKINLEY RD, OTTAWA, IL 61350(815) 434-0228 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 19, 2019, Mar 17, 2018, May 17, 2017 (3 updates tracked since 2017).

About Great Heights Medical Ltd. NPPES

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

GREAT HEIGHTS MEDICAL LTD. (NPI 1609303940) is a healthcare organization registered as an addiction medicine in Ottawa, Illinois and active in the NPI registry since May 2017. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Calumet City, and lists Adeyemi Fatoki, Owner, as its authorized official.

NPPES Registry Identity

NPI1609303940
Entity TypeOrganization
Primary Taxonomy2083A0300X
Legal Business NameGREAT HEIGHTS MEDICAL LTD.
Location Address315 E MCKINLEY RDOttawa, IL 61350-4805
Mailing Address1473 Ring RdCalumet City, IL 60409-5459 · (708) 862-8156
Phone(815) 434-0228
Organization SubpartNo
Authorized OfficialAdeyemi FatokiOwner · (708) 862-8156
Enumeration DateMay 17, 2017
Last NPPES UpdateApril 15, 20253 updates tracked since enumeration
NPPES CertifiedApril 15, 2025
✔ NPI 1609303940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083A0300X
Definition
A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
315 E MCKINLEY RD, Ottawa, IL 61350
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Secondary Practice Location 1

Location 11473 Ring RdCalumet City, IL 60409-5459 · Phone (708) 862-8156

Other Identifiers 1

Medicaid036084729IL

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 SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

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 for Provider-Performed Microscopy Procedures (PPMP) 14D0936845

Great Heights Medical L T D · Calumet City, IL
Active · expires Dec 2, 2027
CLIA Number14D0936845
Laboratory TypePhysician Office
Certificate Effective DateDecember 3, 2025
Certificate Expiration DateDecember 2, 2027
Laboratory DirectorAdeyemi O. Fatoki M D
Laboratory Phone(708) 862-8156
Laboratory LocationGreat Heights Medical L T D1473 Ring Road, Calumet City, IL 60409
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 14D2156706

Great Heights Medical L T D · Ottawa, IL
Active · expires Oct 22, 2026
CLIA Number14D2156706
Laboratory TypePhysician Office
Certificate Effective DateOctober 23, 2024
Certificate Expiration DateOctober 22, 2026
Laboratory DirectorAdeyemi O. Fatoki M D
Laboratory Phone(815) 434-0228
Laboratory LocationGreat Heights Medical L T D315 E Mckinley Rd, Ottawa, IL 61350
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

DR. ADEYEMI OLUDARE FATOKI M.D.
Preventive Medicine (Addiction Medicine)
315 E MCKINLEY RD
OTTAWA, IL 61350
Lasalle County (815) 434-0228
GREAT HEIGHTS OTP
Clinic/Center (Methadone)
315 E MCKINLEY RD
OTTAWA, IL 61350
Lasalle County (815) 434-0228

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 Medical Ltd.'s NPI number?

The NPI number for Great Heights Medical Ltd. is 1609303940. It was assigned to this organization in the NPPES registry on May 17, 2017.

Where is Great Heights Medical Ltd. located?

Great Heights Medical Ltd. is located at 315 E Mckinley Rd, Ottawa, IL 61350. The listed phone number is (815) 434-0228.

What is Great Heights Medical Ltd.'s specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Addiction Medicine, with taxonomy code 2083A0300X.

Does Great Heights Medical Ltd. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Great Heights Medical Ltd. was last updated on April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.