ELEMENTAL CENTER CARES INC.


Address: 612 S Western Ave Apt 1, Chicago, IL 60612-4682
Phone: 7083640580

ELEMENTAL CENTER CARES INC. (NPI# 1912528852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912528852
Entity Type Organization
Organization Name ELEMENTAL CENTER CARES INC.
Practice Address 612 S Western Ave Apt 1
Chicago
IL 60612-4682
Practice Telephone 7083640580
Practice Fax Number 7083640480
Mailing Telephone 7083640580
Mailing Fax Number 7083640480
Enumeration Date 2020-05-01
Last Update Date 2020-05-01
Authorized Official Name DR. MARTINS ADEOYE (PRESIDENT)
Authorized Official Telephone 7083640580
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
Allopathic & Osteopathic Physicians
N 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
Ambulatory Health Care Facilities
N 261QM0850X Clinic/Center
Specialization: Adult Mental Health
Ambulatory Health Care Facilities
N 261QM0855X Clinic/Center
Specialization: Adolescent and Children Mental Health
Ambulatory Health Care Facilities
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Office Location

Street Address 612 S WESTERN AVE APT 1
City CHICAGO
State IL
Zip Code 60612-4682

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598278749 Elemental Treatment Center Ltd Psychiatry & Neurology 612 S Western Ave Apt 1, Chicago, IL 60612-4682 2017-11-09
1376157859 Alexandra Neira Counselor 612 S Western Ave Apt 1, Chicago, IL 60612-4682 2020-09-02
1245841469 Sunshine Psychiatry LLC Nurse Practitioner 612 S Western Ave Apt 1, Chicago, IL 60612-4682 2020-08-11
1477054377 Leah Annette Boney Counselor 612 S Western Ave Apt 1, Chicago, IL 60612-4682 2018-02-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144839739 Sandhya Shri Kannayiram Internal Medicine 1901w Harrison Street, Chicago, IL 60612 2020-07-29
1568080174 Nastaran Ordoyo Haghani Rad Student in an Organized Health Care Education/Training Program 1950 W. Polk Street, Room 6203, Chicago, IL 60612 2020-07-09
1669090403 Marianne Gagnon-konamna Student in an Organized Health Care Education/Training Program 1950 West Polk Street, Chicago, IL 60612 2020-07-08
1922625672 Tanya Montgomery Nee Brown Pediatrics 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 2020-06-29
1124643028 Ashley Swan Dentist 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 2020-06-16
1831711381 Baillie Anne Bronner Obstetrics & Gynecology 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 2020-05-07
1154942449 Keisha Davell Cole Case Manager/Care Coordinator 612 S Western Ave Unit 1, Chicago, IL 60612 2020-04-28
1275153777 Isac Lim Student in an Organized Health Care Education/Training Program 1234 S. Wells, Chicago, IL 60612 2020-04-24
1578183414 Zachary Belden Student in an Organized Health Care Education/Training Program Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 2020-04-21
1548880560 Christina Nunez Student in an Organized Health Care Education/Training Program 801 S. Paulina Street, M/c 850, Chicago, IL 60612 2020-04-20
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386241123 Envision Unlimited Clinic/Center 1801 N Spaulding Ave, Chicago, IL 60647-4926 2020-10-05
1881291789 Jessica Weisbach, LLC Clinic/Center 2257 N Kedzie Blvd Apt 3, Chicago, IL 60647-2561 2020-10-04
1619574803 Envision Unlimited Clinic/Center 2124 W 82nd Pl, Chicago, IL 60620-5358 2020-10-01
1144827320 Envision Unlimited Clinic/Center 4919 N Clark St, Chicago, IL 60640-3514 2020-10-01
1194322370 Envision Unlimited Clinic/Center 4911 S Hoyne Ave, Chicago, IL 60609-4721 2020-10-01
1144837055 Totality. Therapies LLC Clinic/Center 2027 W Division St Ste 157, Chicago, IL 60622-9024 2020-09-24
1790391373 Luminary Solutions, LLC Clinic/Center 3166 N Lincoln Ave Ste 305, Chicago, IL 60657-3119 2020-09-19
1114533924 A Safe Haven, L.L.C. Clinic/Center 600 S Wabash Ave, Chicago, IL 60605-1808 2020-09-17
1235745142 A Safe Haven, L.L.C. Clinic/Center 7355 N Damen Ave, Chicago, IL 60645-2311 2020-09-17
1386250199 A Safe Haven, L.L.C. Clinic/Center 7342-46 S Kingston, Chicago, IL 60649 2020-09-17
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Competitor

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City CHICAGO
Zip Code 60612

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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