Olaide Odutayo

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Practice address

2416 S Goebbert Rd
Unit 2002
Arlington Heights, IL 60005-5185

Phone

(847) 258-3198

NPI assigned

Jun 18, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403049600000",
    "number": "1881008720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2416 S GOEBBERT RD",
            "address_2": "UNIT 2002",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600055185",
            "telephone_number": "224-558-3597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2416 S GOEBBERT RD",
            "address_2": "UNIT 2002",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600055185",
            "telephone_number": "847-258-3198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODUTAYO",
        "first_name": "OLAIDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-18",
        "last_updated": "2014-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Obmann
• Michael S Obrien, MD
• Adewumi C Odefadehan, APRN-FPA
• Mary Odefadehan, FNP-C
• Lara Lynn Odonnell
• Odyssey Healthcare Operating a LP
• Cynthia Hye-Lin Oh, L.A.
• Jin Sol Oh, MD
• Sandy Oh, MD
• Olatunji Chiropractic Corp

• Non-emergency Medical Transport (VAN) in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Non-emergency Medical Transport (VAN) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; 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.