# ELEMENTAL HEALTH SPA LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679313647
- **Authorized official:** DR. MARTINS ADEOYE MD (CEO)
- **Authorized official phone:** (224) 289-5900

## Contact information

- **Practice address:** 14484 JOHN HUMPHREY DR, ORLAND PARK, IL 60462-2638
- **Practice address phone:** (224) 289-5900
- **Practice address fax:** (224) 289-5909
- **Mailing address:** 14484 JOHN HUMPHREY DR, ORLAND PARK, IL 60462-2638
- **Mailing address phone:** (224) 289-5900
- **Mailing address fax:** (224) 289-5909

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/28/2024
- **Last updated:** 10/22/2024