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Contact Information

ELEMENTAL HEALTH SPA LTD
14484 JOHN HUMPHREY DR
ORLAND PARK, IL60462-2638
 Phone: 224-289-5900
 Fax: 224-289-5909
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for ELEMENTAL HEALTH SPA LTD · (Female)

NPI Number 1679313647
Status Active
Credentials
Entity Individual
Enumeration date 05/28/2024
Last updated 10/22/2024 - More than a year ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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