# ELEMENTAL HEALTHY AGING AND WELLNESS CENTER INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Optimal Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467817759
- **Authorized official:** DR. MARTINS ADEOYE M.D. (PRESIDENT)
- **Authorized official phone:** (708) 574-4440

## Contact information

- **Practice address:** 28373 DAVIS PKWY STE 500, WARRENVILLE, IL 60555-1437
- **Practice address phone:** (331) 330-9955
- **Mailing address:** 28373 DAVIS PKWY STE 500, WARRENVILLE, IL 60555-1437
- **Mailing address phone:** (331) 330-9955

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 038008395 | IL | — |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | 336064544 | IL | — |
| 2084P0802X | Addiction Psychiatry Physician | 336064544 | IL | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | 036103889 | IL | Yes |

## Other

- **Enumeration date:** 12/31/2015
- **Last updated:** 01/11/2016