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Contact Information

GREAT HEIGHTS MEDICAL LTD.
315 E MCKINLEY RD
OTTAWA, IL61350-4805
 Phone: 815-434-0228
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Medicine

2083A0300X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for GREAT HEIGHTS MEDICAL LTD · (Female)

NPI Number 1609303940
Status Active
Credentials
Entity Individual
Enumeration date 05/17/2017
Last updated 04/15/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • IL Medicaid 036084729
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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