| Elemental Center Ltd. | |
|
14484 John Humphrey Dr Orland Park IL 60462-2638 | |
| (708) 364-0580 | |
| (708) 364-0480 |
| Full Name | Elemental Center Ltd. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 14484 John Humphrey Dr, Orland Park, Illinois |
| Authorized Official Name and Position | Martins a Adeoye (CEO) |
| Authorized Official Contact | 7083640580 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elemental Center Ltd. 14484 John Humphrey Dr Orland Park IL 60462-2638 Ph: (708) 364-0580 | Elemental Center Ltd. 14484 John Humphrey Dr Orland Park IL 60462-2638 Ph: (708) 364-0580 |
| NPI Number | 1033410477 |
|---|---|
| Provider Enumeration Date | 11/16/2010 |
| Last Update Date | 10/22/2024 |
| Certification Date | 10/22/2024 |
| Medicare PECOS PAC ID | 6305149196 |
|---|---|
| Medicare Enrollment ID | O20160128001830 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033410477 | NPI | - | NPPES |
| Provider Name | Martins Adeoye |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962431726 PECOS PAC ID: 0143204206 Enrollment ID: I20040616000276 |
| Provider Name | Nina Pope-osaghae |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669566782 PECOS PAC ID: 8022082593 Enrollment ID: I20040820000803 |
| Provider Name | Mofoluwa Amiyan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558787960 PECOS PAC ID: 6103058565 Enrollment ID: I20140417000552 |
| Provider Name | Melissa Musec |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093072274 PECOS PAC ID: 6507156460 Enrollment ID: I20160901002553 |
| Provider Name | Mohamad Ata |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457698169 PECOS PAC ID: 0143583484 Enrollment ID: I20180418002634 |
| Provider Name | Chime Darlington Ajiere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851889018 PECOS PAC ID: 7012264047 Enrollment ID: I20180723002674 |
| Provider Name | Abigail M Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790321693 PECOS PAC ID: 2860826674 Enrollment ID: I20200103001418 |
| Provider Name | Natalia Joanna Rysmanowska |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386266237 PECOS PAC ID: 7416354717 Enrollment ID: I20211011002763 |
| Provider Name | Chequaleis Sargent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871007930 PECOS PAC ID: 3173919719 Enrollment ID: I20220406002265 |
| Provider Name | Calvin Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215601943 PECOS PAC ID: 8527444322 Enrollment ID: I20221003000286 |
| Provider Name | Jennifer Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477206308 PECOS PAC ID: 0749657773 Enrollment ID: I20221104000801 |
| Provider Name | Adriana V Gilli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306561493 PECOS PAC ID: 4284003971 Enrollment ID: I20221220002443 |
| Provider Name | James M Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205237104 PECOS PAC ID: 4486876810 Enrollment ID: I20230103000039 |
| Provider Name | Oreoluwatomi Agbaje |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700599248 PECOS PAC ID: 2365807252 Enrollment ID: I20230427002893 |
| Provider Name | Douglas O Nyenke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780399055 PECOS PAC ID: 8426414954 Enrollment ID: I20230525001013 |
| Provider Name | Olubunmi Isijola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497475461 PECOS PAC ID: 9537527510 Enrollment ID: I20230623000433 |
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