ELEMENTAL MEDSPA LTD NPI 1487393880

NPI Information

NPI: 1487393880
Provider Name: ELEMENTAL MEDSPA LTD
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
14484 JOHN HUMPHREY DR
ORLAND PARK, IL
ZIP 60462
Phone: (708) 553-0303
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ELEMENTAL MEDSPA LTD is a health service clinic center in Orland Park, IL. ELEMENTAL MEDSPA LTD NPI is 1487393880. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

14484 JOHN HUMPHREY DR
ORLAND PARK, IL
ZIP 60462-638
Phone: (708) 553-0303
Fax: (708) 364-0480

The provider's authorized official is Martins Adeoye .
The authorized official title is Ceo and has the following contact phone number (708) 553-0303.

The enumeration date for this NPI number is 6/2/2022 and was last updated on 6/16/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	2084P0802X	Psychiatry & Neurology	Addiction Psychiatry	No
2	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	No
3	261QH0100X	Clinic/Center	Health Service	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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