Abiodun Emmanuel Oludaisi

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

227022762 Issued in IL

Practice address

455 Coventry LN Ste 107/107a
Crystal Lake, IL 60014-7571

Phone

(312) 885-0283

Fax

(779) 356-4020

NPI assigned

Nov 4, 2022

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• True Plus LLC

  • Massage Therapist
  • Crystal Lake, IL
  • NPI 1336983303
  NPD Authorized official
• True Plus LLC

  • Non-emergency Medical Transport (VAN)
  • Crystal Lake, IL
  • NPI 1982449757
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1667520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1811604150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 SANDY CT",
            "city": "HARVARD",
            "state": "IL",
            "postal_code": "600337803",
            "telephone_number": "312-978-1506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 COVENTRY LN STE 107/107A",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147571",
            "telephone_number": "312-885-0283",
            "fax_number": "779-356-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLUDAISI",
        "first_name": "ABIODUN",
        "middle_name": "EMMANUEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-04",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "227022762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "abiodun.abiodun@gmail.com",
            "affiliation": "N",
            "endpointDescription": "CEO",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "abiodun.abiodun@gmail.com",
            "address_1": "545 SANDY CT HARVARD",
            "city": "HARVARD",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Daniel Okon
• Olive Branch Counseling PLLC
• Joan E. Olson, MS, OTR/L
• Nancy Diane Olson, MA, NCC, LCPC
• Stephanie L Olson
• Afsheen Mumtaz Ommar, D.D.S.
• Onething Care, Inc. (Homewatch CareGivers)
• Open Advanced MRI of Crystal Lake, LLC
• Candace Marie Opon, D.D.S.
• Kyle Opperman-Hill

• Massage Therapist in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Massage Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.