Organization
ELEMENTAL MEDSPA LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTINS ADEOYE MD (CEO)
(708) 553-0303
Entity
Organization
Contact information
Practice address
14484 JOHN HUMPHREY DR, ORLAND PARK, IL 60462-2638
(708) 553-0303
(708) 364-0480
Mailing address
14484 JOHN HUMPHREY DR, ORLAND PARK, IL 60462-2638
(708) 553-0303
(708) 364-0480
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
06/02/2022
Last updated
10/22/2024
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