National Provider Identifier Database

ELEMENTAL CENTER CARES INC
Mental Health (Including Community Mental Health Center)

Contact Information

ELEMENTAL CENTER CARES INC.
612 S WESTERN AVE APT 1
CHICAGO, IL  60612-4682
Phone: 708-364-0580
Fax: 708-364-0480
Website:
Specialty Taxonomy Code
* Mental Health (Including Community Mental Health Center) 261QM0801X
Adolescent and Children Mental Health 261QM0855X
Adult Mental Health 261QM0850X
Federally Qualified Health Center (FQHC) 261QF0400X
Psychiatry 2084P0800X

* Indicates primary specialty

NPI Profile & details for ELEMENTAL CENTER CARES INC.

NPI Number 1912528852
Legal business name
LBN		 ELEMENTAL CENTER CARES INC.
Authorized official MARTINS ADEOYE - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 05/01/2020
Last updated 10/22/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

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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