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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