ELEMENTAL WELLNESS CENTER LTD – NPI #1700516168
Preventive Medicine

A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.

Health Care Provider Taxonomy Code for Preventive Medicine

ELEMENTAL WELLNESS CENTER LTD is a provider located in ORLAND PARK, IL. NPPES has assigned the NPI number 1700516168 to ELEMENTAL WELLNESS CENTER LTD on June 16, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2083A0300X from the Health Care Provider Taxonomy code set, which is classified as Preventive Medicine, specializing in Addiction Medicine

The NPI profile was last updated on Oct 22, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ELEMENTAL WELLNESS CENTER LTD below.

NPI Profile for
ELEMENTAL WELLNESS CENTER LTD

NPI Number
1700516168
Enumeration Date

(about 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ELEMENTAL WELLNESS CENTER LTD
Primary location
14484 JOHN HUMPHREY DR
ORLAND PARK, IL 60462-2638
Phone: (708) 364-0580 Fax: (708) 364-0480
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MARTINS ADEOYE
MD CEO
Phone: (708) 553-0303
Updated
Certification Date
Oct 22, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2083A0300X
- Preventive Medicine / Addiction Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.