Provider Demographics
NPI:1669151106
Name:SODIPE AND ASSOCIATES, INC
Entity type:Organization
Organization Name:SODIPE AND ASSOCIATES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN
Authorized Official - Prefix:DR
Authorized Official - First Name:OLUKAYODE
Authorized Official - Middle Name:AKINNIYI
Authorized Official - Last Name:SODIPE
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:815-557-0333
Mailing Address - Street 1:475 S FRONTAGE RD # 208
Mailing Address - Street 2:
Mailing Address - City:BURR RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60527-6225
Mailing Address - Country:US
Mailing Address - Phone:815-557-0333
Mailing Address - Fax:
Practice Address - Street 1:475 S FRONTAGE RD # 208
Practice Address - Street 2:
Practice Address - City:BURR RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60527-6225
Practice Address - Country:US
Practice Address - Phone:815-557-0333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-12
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)