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ABIODUN EMMANUEL OLUDAISI
NPI 1811604150
Massage Therapist in Crystal Lake, IL

Active since November 04, 2022
455 COVENTRY LN STE 107/107A, CRYSTAL LAKE, IL 60014(312) 885-0283(779) 356-4020 Get Directions Write a Review

NPPES record last updated: January 2, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 2, 2025, Dec 27, 2024, Nov 4, 2022 (3 updates tracked since 2022).

About Abiodun Emmanuel Oludaisi NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ABIODUN EMMANUEL OLUDAISI (NPI 1811604150) is an individual massage therapist in Crystal Lake, Illinois, licensed in Illinois (227022762) and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1811604150
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameABIODUN EMMANUEL OLUDAISI
Location Address455 COVENTRY LN STE 107/107ACrystal Lake, IL 60014-7571
Mailing Address545 Sandy CtHarvard, IL 60033-7803 · (312) 978-1506
Phone(312) 885-0283
Fax(779) 356-4020
Sole ProprietorYes
Enumeration DateNovember 4, 2022
Last NPPES UpdateJanuary 2, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2025
✔ NPI 1811604150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in IL · 227022762
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
455 COVENTRY LN STE 107/107A, Crystal Lake, IL 60014
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Abiodun Oludaisi's NPI number?

The NPI number for Abiodun Oludaisi is 1811604150. It was assigned to this individual provider in the NPPES registry on November 4, 2022.

Where is Abiodun Oludaisi located?

Abiodun Oludaisi practices at 455 Coventry Ln Ste 107/107a, Crystal Lake, IL 60014. The listed phone number is (312) 885-0283.

What is Abiodun Oludaisi's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Abiodun Oludaisi was last updated on January 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.