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Organization
ELEMENTAL HEALTHY AGING AND WELLNESS CENTER INC.
Active
Organization
ELEMENTAL HEALTHY AGING AND WELLNESS CENTER INC.
Active
Other names
Optimal Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTINS ADEOYE M.D. (PRESIDENT)
(708) 574-4440
Entity
Organization
Contact information
Practice address
28373 DAVIS PKWY STE 500, WARRENVILLE, IL 60555-1437
(331) 330-9955
Mailing address
28373 DAVIS PKWY STE 500, WARRENVILLE, IL 60555-1437
(331) 330-9955
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
038008395
IL
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
336064544
IL
2084P0802X
Addiction Psychiatry Physician
336064544
IL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
036103889
IL
Other
Enumeration date
12/31/2015
Last updated
01/11/2016
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