| Greater Heights P Medical Services | |
|
1005 S Evergreen Ave Arlington Heights IL 60005-3144 | |
| (847) 749-0542 | |
| (630) 451-9896 |
| Full Name | Greater Heights P Medical Services |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1005 S Evergreen Ave, Arlington Heights, Illinois |
| Authorized Official Name and Position | Mary Odefadehan (MANAGER) |
| Authorized Official Contact | 2246592484 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater Heights P Medical Services 1005 S Evergreen Ave Arlington Heights IL 60005-3144 Ph: (847) 749-0542 | Greater Heights P Medical Services 1005 S Evergreen Ave Arlington Heights IL 60005-3144 Ph: (847) 749-0542 |
| NPI Number | 1568099307 |
|---|---|
| Provider Enumeration Date | 03/23/2020 |
| Last Update Date | 04/07/2020 |
| Certification Date | 04/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568099307 | NPI | - | NPPES |
| 1063900603 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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