Organization Active NPI

Elemental Health LTD

  • Behavioral Neurology & Neuropsychiatry Physician
  • Orland Park, IL
National Provider Identifier
1740793074
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X
Legal business name
ELEMENTAL HEALTH LTD
Practice address
14484 John Humphrey Dr
Orland Park, IL 60462-2638
Phone
(708) 892-2900
Fax
(708) 892-2909
NPI assigned
Nov 8, 2017
Last updated
Oct 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Authorized official

Name
Dr. Martins A Adeoye, MDNPI 1962431726
Title
Ceo
Phone
(708) 892-2900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU
Child & Adolescent Psychiatry Physician 2084P0804X NU
Behavioral Neurology & Neuropsychiatry Physician 2084B0040X NU Primary
Addiction Medicine (Preventive Medicine) Physician 2083A0300X NU

Addresses

Primary practice location

14484 John Humphrey Dr
Orland Park, IL 60462-2638

Mailing address

14484 John Humphrey Dr
Orland Park, IL 60462-2638
Phone (708) 892-2900

Other practice location 1

612 S Western Ave Apt 1
Chicago, IL 60612-4682
Phone (708) 892-2900

Other practice location 2

1431 McHenry Rd Ste 105
Buffalo Grove, IL 60089-1378
Phone (708) 892-2900

Other names 1

  • ELEMENTAL HEALTH LTD. Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729555200000",
    "number": "1740793074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14484 JOHN HUMPHREY DR",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604622638",
            "telephone_number": "708-892-2900",
            "fax_number": "708-892-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14484 JOHN HUMPHREY DR",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604622638",
            "telephone_number": "708-892-2900",
            "fax_number": "708-892-2909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "612 S Western Ave Apt 1",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606124682",
            "country_code": "US",
            "telephone_number": "708-892-2900",
            "fax_number": "708-892-2909",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1431 McHenry Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Buffalo Grove",
            "state": "IL",
            "postal_code": "600891378",
            "country_code": "US",
            "telephone_number": "708-892-2900",
            "fax_number": "708-892-2909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELEMENTAL HEALTH LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-08",
        "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": "708-892-2900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ELEMENTAL HEALTH LTD.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Orland Park, IL

Sources for this page

  • 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.