Organization
ELEMENTAL CENTER LTD.
Active
Other names
Haven Health SC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTINS A ADEOYE MD (CEO)
(708) 364-0580
Entity
Organization
Contact information
Practice address
14484 JOHN HUMPHREY DR, ORLAND PARK, IL 60462-2638
(708) 364-0580
(708) 364-0480
Mailing address
14484 JOHN HUMPHREY DR, ORLAND PARK, IL 60462-2638
(708) 364-0580
(708) 364-0480
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036103889
IL
2084P0804X
Child & Adolescent Psychiatry Physician
036103889
IL
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
11/16/2010
Last updated
10/22/2024
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