ELEMENTAL MEDSPA LTD NPI 1487393880

NPI Information

  • NPI: 1487393880
  • Provider Name: ELEMENTAL MEDSPA LTD
  • Classification: Clinic/Center - 261QH0100X
  • Specialization: Health Service
  • Entity Type: Organization
  • Address: 14484 JOHN HUMPHREY DR
    ORLAND PARK, IL
    ZIP 60462
  • Phone: (708) 553-0303

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NPI Details

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 10/22/2024.

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 License Number License State Primary
12084P0802XPsychiatry & NeurologyAddiction PsychiatryNo
22084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryNo
3261QH0100XClinic/CenterHealth ServiceYes

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: 11/21/2025

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