Organization
ELEMENTAL TREATMENT CENTER LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTINS A ADEOYE MD (CEO)
(331) 330-9955
Entity
Organization
Contact information
Practice address
612 S WESTERN AVE APT 1, CHICAGO, IL 60612-4682
(331) 330-9955
Mailing address
612 S WESTERN AVE APT 1, CHICAGO, IL 60612-4682
(331) 330-9955
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
11/09/2017
Last updated
10/22/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us