Healthcare Provider Details

I. General information

NPI: 1336031384
Provider Name (Legal Business Name): KENIG ALL ROUNDED WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

129 S ROSELLE RD
SCHAUMBURG IL
60193-5540
US

IV. Provider business mailing address

129 S ROSELLE RD
SCHAUMBURG IL
60193-5540
US

V. Phone/Fax

Practice location:
  • Phone: 202-867-5162
  • Fax:
Mailing address:
  • Phone: 202-867-5162
  • Fax: 888-783-4262

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code202D00000X
TaxonomyIntegrative Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DOLORITA ONGURU
Title or Position: CEO
Credential: DNP
Phone: 202-867-5162