| Elemental Health Spa Ltd | |
|
14484 John Humphrey Dr Orland Park IL 60462-2638 | |
| (224) 289-5900 | |
| (224) 289-5909 |
| Full Name | Elemental Health Spa Ltd |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 14484 John Humphrey Dr, Orland Park, Illinois |
| Authorized Official Name and Position | Martins Adeoye (CEO) |
| Authorized Official Contact | 2242895900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elemental Health Spa Ltd 14484 John Humphrey Dr Orland Park IL 60462-2638 Ph: (224) 289-5900 | Elemental Health Spa Ltd 14484 John Humphrey Dr Orland Park IL 60462-2638 Ph: (224) 289-5900 |
| NPI Number | 1679313647 |
|---|---|
| Provider Enumeration Date | 05/28/2024 |
| Last Update Date | 10/22/2024 |
| Certification Date | 10/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679313647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
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