COMPREHENSIVE MEDICAL MANAGEMENT SERVICES LTD (NPI# 1154539435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154539435 |
| Entity Type | Organization |
| Organization Name | COMPREHENSIVE MEDICAL MANAGEMENT SERVICES LTD |
| Practice Address |
1473 Ring Rd Calumet City IL 60409-5459 |
| Practice Telephone | 7088680003 |
| Practice Fax Number | 7088628105 |
| Mailing Telephone | 7088680003 |
| Mailing Fax Number | 7088628105 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ADEYEMI OLUDARE FATOKI (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7088680003 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
IL | Allopathic & Osteopathic Physicians | |
| X | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
IL | Allopathic & Osteopathic Physicians |
| Street Address |
1473 RING RD |
| City | CALUMET CITY |
| State | IL |
| Zip Code | 60409-5459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356339790 | Hansers Associates | Family Medicine | 1473 Ring Rd, Calumet City, IL 60409-5459 | 2005-10-10 |
| 1952808610 | Sonya Delaine Willis | Counselor | 1473 Ring Rd, Calumet City, IL 60409-5459 | 2018-04-10 |
| 1750881611 | Martha Elaine Clark | Counselor | 1473 Ring Rd, Calumet City, IL 60409-5459 | 2018-02-17 |
| 1720516099 | Great Heights Otp | Clinic/Center | 1473 Ring Rd, Calumet City, IL 60409-5459 | 2017-05-31 |
| 1659816874 | Great Heights Otp | Clinic/Center | 1473 Ring Rd, Calumet City, IL 60409-5459 | 2016-12-23 |
| 1063956894 | Laconyer Davis | Counselor | 1473 Ring Rd, Great Heights Family Medicine, Calumet City, IL 60409-5459 | 2016-12-13 |
| 1851683536 | Margaret Okodua | Nurse Practitioner | 1473 Ring Rd, Calumet City, IL 60409-5459 | 2011-05-12 |
| 1255621314 | Maricel M Sullivan | Nurse Practitioner | 1473 Ring Rd, Calumet City, IL 60409-5459 | 2011-04-11 |
| 1073810271 | Theresa Ibeabuchi | Family Medicine | 1473 Ring Rd, Calumet City, IL 60409-5459 | 2011-02-24 |
| 1285854067 | Great Heights Family Medicine Ltd. | Family Medicine | 1473 Ring Rd, Calumet City, IL 60409-5459 | 2007-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689159832 | Victory Pharmacy of Decatur Inc | Pharmacy | 1837 River Oaks Rd, Calumet City, IL 60409 | 2018-10-03 |
| 1801336961 | It's About Change Sober Living, Inc. | Community/Behavioral Health | 1604 Horbor St., Calumet City, IL 60409 | 2017-03-08 |
| 1750832986 | Jeffrey Mcneil | Social Worker | 660 Memorial Dr., Calumet City, IL 60409 | 2016-10-24 |
| 1578855219 | Cherechi V Onyenso | Nurse Practitioner | 1473 Ring Ring Road, Great Heights Family Medicine, Calumet City, IL 60409 | 2011-05-13 |
| 1205097607 | Michael Peter Weisberg | Ophthalmology | 1700 East West Road, Calumet City, IL 60409 | 2008-06-19 |
| 1861694333 | County of Cook | Local Education Agency (LEA) | 1255 Superior Ave, Calumet City, IL 60409 | 2007-06-05 |
| 1689875585 | Calumet City School District #155 | Local Education Agency (LEA) | Memorial Dr and Superior, Calumet City, IL 60409 | 2007-05-29 |
| 1932224185 | Micah K Swansey Sr. | Psychologist | 593 Burnham Avenue, Calumet City, IL 60409 | 2007-03-20 |
| 1184768210 | Beverly Williamson | Optometrist | 200 River Oaks Drive, Calumet City, IL 60409 | 2007-02-20 |
| 1205978863 | Dillons Dental Services LLC | Dentist | 2000 E 159th St, Calumet City, IL 60409 | 2007-02-12 |
| Find all providers in zip 60409 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285854067 | Great Heights Family Medicine Ltd. | Family Medicine | 1473 Ring Rd, Calumet City, IL 60409-5459 | 2007-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609303320 | Brianne C Brown | Family Medicine | 1111 N Milwaukee Ave Unit 242, Vernon Hills, IL 60061-1658 | 2017-05-11 |
| 1649553892 | Physicians Community Medical Center North, S.c. | Family Medicine | 5320 159th St # 2n, Oak Forest, IL 60452-4705 | 2011-09-23 |
| 1538469739 | John Thomas Johns Jr. | Family Medicine | 210 N. Ashland, Chicago, IL 60607-1402 | 2010-10-22 |
| 1548447956 | Total Care Medical Clinic | Family Medicine | 6929 Ogden Ave, Berwyn, IL 60402-3649 | 2008-01-28 |
| 1205979028 | Gloria J Mouzon | Family Medicine | 140 N Ashland Ave, Chicago, IL 60607-1802 | 2007-02-14 |
| 1760448674 | Richard J Ready | Family Medicine | 999 Oakmont Plaza Dr Ste 100, Westmont, IL 60559-1381 | 2006-04-21 |
| 1841251378 | Britt Michael Borden | Family Medicine | 180 N Stetson Ave, Chicago, IL 60601-6710 | 2006-04-02 |
| 1992704381 | James Edward Beckett | Family Medicine | 326 W 64th St, St Bernard Hospital Dept Radiology, Chicago, IL 60621-3114 | 2005-07-18 |
| 1912519786 | Shark Addiction Treatment | Family Medicine | 1111 N Milwaukee Ave Unit 242, Vernon Hills, IL 60061-1658 | 2020-08-21 |
| 1831748573 | Recoveruscenters-carbondale LLC | Family Medicine | 2250 Reed Station Pkwy Ste 204, Carbondale, IL 62901-8104 | 2019-09-05 |
| Find all providers with the same taxonomy | ||||
| City | CALUMET CITY |
| Zip Code | 60409 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.