# ELEMENTAL TELEHEALTH LTD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ELEMENTAL TELEHEALTH LTD.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093473241
- **Authorized official:** DR. MARTINS A ADEOYE MD (MD CEO)
- **Authorized official phone:** (708) 364-0580

## Contact information

- **Practice address:** 14484 JOHN HUMPHREY DR, ORLAND PARK, IL 60462-2638
- **Practice address phone:** (708) 553-0303
- **Practice address fax:** (708) 364-0480
- **Mailing address:** 14484 JOHN HUMPHREY DR, ORLAND PARK, IL 60462-2638
- **Mailing address phone:** (708) 553-0303
- **Mailing address fax:** (708) 364-0480

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | NULL | — |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | — | — |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 12/06/2021
- **Last updated:** 10/22/2024