Elemental Center

NPI 1033410477 - Psychiatry & Neurology - 2084P0804X

NPI Details
NPI 1033410477
Enumeration Date 11/16/2010
Last Updated 01/12/2016
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name MARTINS A MARTINS
Position CEO
Phone (708) 364-0580
Fax (708) 364-0480
Practice Location
15010 S RAVINIA AVE
SUITE 15
ORLAND PARK IL, 60462-3162, US
Phone (708) 364-0580
Fax (708) 364-0480
Business Location
15010 S RAVINIA AVE
SUITE 15
ORLAND PARK IL, 60462-3162, US
Phone (708) 364-0580
Fax (708) 364-0480
Toxanomy
Taxonomy Code 2084P0804X
License State Illinois
License Number 036103889
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According to our database, Elemental Center NPI is 1033410477, taxonomy code is 2084P0804X and license number is 036103889, license state is located at Illinois. Elemental Center physically located at 15010 S Ravinia Ave, Orland Park IL, 60462-3162. NPI Number 1033115704 has the healthcare provider type.

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1033410477 NPI number is provided on an as is basis without warranty of any kind. 1033410477 is maintained by the National Plan & Provider Enumeration System. The contents of Elemental Center are for informational purposes only.