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Organization
ELEMENTAL CENTER CARES INC.
Active
Organization
ELEMENTAL CENTER CARES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTINS ADEOYE MD (PRESIDENT)
(708) 364-0580
Entity
Organization
Contact information
Practice address
612 S WESTERN AVE APT 1, CHICAGO, IL 60612-4682
(708) 364-0580
(708) 364-0480
Mailing address
612 S WESTERN AVE APT 1, CHICAGO, IL 60612-4682
(708) 364-0580
(708) 364-0480
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
05/01/2020
Last updated
10/22/2024
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