Elemental Treatment Center LTD

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

ELEMENTAL TREATMENT CENTER LTD

Practice address

612 S Western Ave Apt 1
Chicago, IL 60612-4682

Phone

(331) 330-9955

NPI assigned

Nov 9, 2017

Last updated

Oct 22, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Martins A Adeoye, MD

Title

Ceo

Phone

(331) 330-9955

Specialties & licenses 3

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729555200000",
    "number": "1598278749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 S WESTERN AVE APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606124682",
            "telephone_number": "331-330-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 S WESTERN AVE APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606124682",
            "telephone_number": "331-330-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEMENTAL TREATMENT CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-09",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A",
        "authorized_official_last_name": "ADEOYE",
        "authorized_official_first_name": "MARTINS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "331-330-9955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Element Counseling
• Element Therapy Group LLC
• Elemental Center Cares Inc.
• Elemental Healing Arts Studio, LLC
• Elemental Medical Center LTD
• Elemento Health
• Beryl Elenbogen, MSW, LCSW
• Olanrewaju Adebola Eletta, MD
• Elevar Counseling Chicago, LLC
• Elevare in Illinois, PLLC

• Federally Qualified Health Center (FQHC) in Chicago, IL
• Providers in Chicago, IL by specialty
• Federally Qualified Health Center (FQHC) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.