Individual
ABIODUN EMMANUEL OLUDAISI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
455 COVENTRY LN STE 107/107A, CRYSTAL LAKE, IL 60014-7571
(312) 885-0283
(779) 356-4020
Mailing address
545 SANDY CT, HARVARD, IL 60033-7803
(312) 978-1506
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227022762
IL
Other
Enumeration date
11/04/2022
Last updated
01/02/2025
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