Provider Demographics
NPI:1750192258
Name:UNIIKS LLC
Entity type:Organization
Organization Name:UNIIKS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KAYODE
Authorized Official - Middle Name:F
Authorized Official - Last Name:ODUFUYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-903-6172
Mailing Address - Street 1:1909 S MEADOWWOOD CT
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55444-2451
Mailing Address - Country:US
Mailing Address - Phone:847-903-6172
Mailing Address - Fax:
Practice Address - Street 1:1909 S MEADOWWOOD CT
Practice Address - Street 2:
Practice Address - City:BROOKLYN PARK
Practice Address - State:MN
Practice Address - Zip Code:55444-2451
Practice Address - Country:US
Practice Address - Phone:847-903-6172
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-15
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SP0807XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Child & AdolescentGroup - Single Specialty