Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Elemental Medical Center Ltd

Organization Child & Adolescent Psychiatry Physician · NPI 1164935169

Elemental Medical Center Ltd is a Child & Adolescent Psychiatry Physician in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2017.

Licensed in
IL
In the registry since
2017
Specialties on file
2
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

612 S Western Ave Apt 1
Chicago, IL 60612-4682
Phone: (331) 330-9955
Fax: (708) 892-2909
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X · Licence 036103889 (IL)
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X

Record details

NPI number1164935169
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Martins Adeoye — Ceo · (331) 330-9955
NPI enumeratedNovember 13, 2017
Last updated in NPPESOctober 22, 2024
Certification dateOctober 22, 2024
Mailing address15010 S Ravinia Ave Ste 15, Orland Park, IL 60462-5353

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