Elemental Center Ltd. | |
14484 John Humphrey Dr Orland Park IL 60462-2638 | |
(708) 364-0580 | |
(708) 364-0480 |
Full Name | Elemental Center Ltd. |
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Speciality | Psychiatry & Neurology |
Location | 14484 John Humphrey Dr, Orland Park, Illinois |
Authorized Official Name and Position | Martins A Adeoye (CEO) |
Authorized Official Contact | 7083640580 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Elemental Center Ltd. 14484 John Humphrey Dr Orland Park IL 60462-2638 Ph: (708) 364-0580 | Elemental Center Ltd. 14484 John Humphrey Dr Orland Park IL 60462-2638 Ph: (708) 364-0580 |
NPI Number | 1033410477 |
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Provider Enumeration Date | 11/16/2010 |
Last Update Date | 10/22/2024 |
Certification Date | 10/22/2024 |
Medicare PECOS PAC ID | 6305149196 |
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Medicare Enrollment ID | O20160128001830 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033410477 | NPI | - | NPPES |
Provider Name | Martins A Adeoye |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1962431726 PECOS PAC ID: 0143204206 Enrollment ID: I20040616000276 |
Provider Name | Nina Pope-osaghae |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669566782 PECOS PAC ID: 8022082593 Enrollment ID: I20040820000803 |
Provider Name | Angela M Campbell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013342906 PECOS PAC ID: 2860629557 Enrollment ID: I20131231000392 |
Provider Name | Mofoluwa Amiyan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558787960 PECOS PAC ID: 6103058565 Enrollment ID: I20140417000552 |
Provider Name | Melissa Musec |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1093072274 PECOS PAC ID: 6507156460 Enrollment ID: I20160901002553 |
Provider Name | Mohamad Ata |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457698169 PECOS PAC ID: 0143583484 Enrollment ID: I20180418002634 |
Provider Name | Chime Darlington Ajiere |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851889018 PECOS PAC ID: 7012264047 Enrollment ID: I20180723002674 |
Provider Name | Abigail M Hamilton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790321693 PECOS PAC ID: 2860826674 Enrollment ID: I20200103001418 |
Provider Name | Sarah J Sims |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245790278 PECOS PAC ID: 6709217995 Enrollment ID: I20200501001623 |
Provider Name | Dhara Nathwani |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1396139101 PECOS PAC ID: 1951728278 Enrollment ID: I20200901003475 |
Provider Name | Natalia Joanna Rysmanowska |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386266237 PECOS PAC ID: 7416354717 Enrollment ID: I20211011002763 |
Provider Name | Chequaleis Sargent |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871007930 PECOS PAC ID: 3173919719 Enrollment ID: I20220406002265 |
Provider Name | Erica Guerrero |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538769773 PECOS PAC ID: 5597143776 Enrollment ID: I20220531002692 |
Provider Name | Calvin Walker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215601943 PECOS PAC ID: 8527444322 Enrollment ID: I20221003000286 |
Provider Name | Jennifer Gray |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477206308 PECOS PAC ID: 0749657773 Enrollment ID: I20221104000801 |
Provider Name | Adriana V Gilli |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306561493 PECOS PAC ID: 4284003971 Enrollment ID: I20221220002443 |
Provider Name | James M Lee |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205237104 PECOS PAC ID: 4486876810 Enrollment ID: I20230103000039 |
Provider Name | Oreoluwatomi Agbaje |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700599248 PECOS PAC ID: 2365807252 Enrollment ID: I20230427002893 |
Provider Name | Robert Wirick |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710688460 PECOS PAC ID: 3577929199 Enrollment ID: I20230523002925 |
Provider Name | Douglas O Nyenke |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780399055 PECOS PAC ID: 8426414954 Enrollment ID: I20230525001013 |
Provider Name | Olubunmi Isijola |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497475461 PECOS PAC ID: 9537527510 Enrollment ID: I20230623000433 |
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