OrganizationActive
Elemental Medical Center Ltd
NPI 1164935169 · Child & Adolescent Psychiatry Physician · Chicago, IL
Provider details
- NPI number
- 1164935169
- Entity type
- Organization
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Martins Adeoye, Ceo(331) 330-9955
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Ambulatory Health Care Facilities
Practice location
612 S Western Ave Apt 1
Chicago, IL 60612-4682
Phone: (331) 330-9955
Fax: (708) 892-2909
Approximate (ZIP-level) locationGet directions
Mailing address
15010 S Ravinia Ave Ste 15
Orland Park, IL 60462-5353
Registry dates
- Enumerated
- 2017-11-13
- Last updated
- 2024-10-22
- Certified
- 2024-10-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.