NPI Code Details Logo

NPI 1336031384

NPI 1336031384 : KENIG ALL ROUNDED WELLNESS LLC : SCHAUMBURG, IL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1336031384
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    KENIG ALL ROUNDED WELLNESS LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/16/2025
-----------------------------------------------------
    Last Update Date     |    12/08/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    129 S ROSELLE RD 
-----------------------------------------------------
    City                 |    SCHAUMBURG
-----------------------------------------------------
    State                |    IL
-----------------------------------------------------
    Zip                  |    60193-5540
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    202-867-5162
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    129 S ROSELLE RD 
-----------------------------------------------------
    City                 |    SCHAUMBURG
-----------------------------------------------------
    State                |    IL
-----------------------------------------------------
    Zip                  |    60193-5540
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    202-867-5162
-----------------------------------------------------
    Fax                  |    888-783-4262
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CEO
-----------------------------------------------------
    Name                 |    DR. DOLORITA  ONGURU 
-----------------------------------------------------
    Credential           |    DNP
-----------------------------------------------------
    Telephone            |    202-867-5162
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    202D00000X
-----------------------------------------------------
    Taxonomy Name        |    Integrative Medicine Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    207Q00000X
-----------------------------------------------------
    Taxonomy Name        |    Family Medicine Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    208D00000X
-----------------------------------------------------
    Taxonomy Name        |    General Practice Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.