Elemental Medical Center Ltd

LBN: Elemental Medical Center Ltd
Elemental Medical Center Ltd is an health care organization with primary practice located at 15010 S Ravinia Ave Ste 15 , Orland Park IL 60462-5353. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is the primary health care specialty. Elemental Medical Center Ltd can be contacted via phone (331) 330-9955, or through Adeoye, Martins A via phone (331) 330-9955.

Contact Information

Primary practice address
15010 S Ravinia Ave Ste 15 Orland Park IL 60462-5353
Fax: (708) 364-0480
Website:
Authorized official contact:
Name: Adeoye, Martins A Doctor of Medicine (MD)

Profile Details

NPI number 1164935169
LBN Legal business name Elemental Medical Center Ltd
DBA Doing business as
Authorized official Adeoye, Martins A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 13th, 2017
Last updated May 1st, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164935169 NPPES
Illinois MEDICAID 036103889

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