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Great Heights Otp
Methadone Clinic in Calumet City, Illinois
NPI 1659816874

Great Heights Otp is a Methadone Clinic based in Calumet City, IL and is specialized in Methadone. Great Heights Otp practices in Calumet City, IL. The NPI Number for Great Heights Otp is 1659816874 and holds a License No. A79840001A (Illinois).

The current practice location address for Great Heights Otp is 1473 Ring Rd, Calumet City, IL and can be reached out via phone at 708-862-8156 and via fax at 708-862-8105.

Location: 1473 Ring Rd, Calumet City, IL, 60409-5459
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1659816874
Provider Name
Great Heights Otp
Credential
Provider Entity Type
Organization
Address
1473 Ring Rd, Calumet City, IL, 60409-5459
Phone Number
708-862-8156
Fax Number
708-862-8105
Provider Enumeration Date
12/23/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A-6548-0001-A 01 IL SUPR
institution
Provider Business Practice Location Address Details
Address
1473 Ring Rd
City
Calumet City
State
Illinois
Zip
60409-5459
Phone Number
708-862-8156
Fax Number
708-862-8105
person
Provider Business Mailing Address Details
Address
1473 Ring Rd
City
Calumet City
State
Illinois
Zip
60409-5459
Phone Number
708-862-8156
Fax Number
708-862-8105
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
261QM2800X
License No.
A79840001A (Illinois)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
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