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General NPI Number Information
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NPI Number | 1457144073
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Entity Type | Organization
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Legal Business Name | RIVERONE HEALTH & WELLNESS
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Dates
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Enumeration Date | 05/27/2025
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 333 N HAMMES AVE STE 107
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City | JOLIET
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State | IL
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Zip | 60435-8119
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Country | US
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Telephone | 815-705-6246
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Fax | 855-641-2321
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Provider Business Mailing Address
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Address Line | 333 N HAMMES AVE STE 107
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City | JOLIET
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State | IL
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Zip | 60435-8119
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Country | US
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Telephone | 815-705-6246
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Fax | 855-641-2321
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Authorized Official
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Title or Position | OWNER
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Name | DR. HA-IL LEE
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Credential | DC, LAC, MSOM, COF
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Telephone | 815-705-6246
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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