Organization
ELEMENTAL CARE - HEALTH & WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT GALLOWAY (CEO)
(815) 714-5430
Entity
Organization
Contact information
Practice address
20660 CATON FARM RD UNIT F, CREST HILL, IL 60403-1201
(815) 714-5430
(815) 714-5369
Mailing address
20660 CATON FARM RD UNIT F, CREST HILL, IL 60403-1201
(815) 714-5430
(815) 714-5369
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
01/12/2017
Last updated
02/18/2026
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