Organization Name: | COMPREHENSIVE MEDICAL MANAGEMENT SERVICES LTD |
NPI Number: | 1154539435 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ADEYEMI OLUDARE FATOKI (MEDICAL DIRECTOR) |
Mailing Address: | 1473 Ring Rd Calumet City |
State: | IL US |
Postal Code: | 604095459 |
Phone Number: | 7088680003 |
Fax Number: | 7088628105 |
NPI Enumeration Date: | 05/18/2007 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0401X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Addiction Medicine |
Taxonomy Definition: | A family medicine physician who specializes in the diagnosis and treatment of addictions. |