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General NPI Number Information
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NPI Number | 1588643431
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Entity Type | Organization
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Legal Business Name | SERENITY HEALTH & WELLNESS, LTD
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Dates
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Enumeration Date | 01/10/2006
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Last Update Date | 02/27/2013
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Provider Practice Location Address
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Address Line | 600 W FULTON ST SUITE 304
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City | CHICAGO
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State | IL
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Zip | 60661-1259
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Country | US
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Telephone | 312-756-1778
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Fax | 312-756-1777
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Provider Business Mailing Address
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Address Line | 600 W FULTON ST SUITE 304
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City | CHICAGO
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State | IL
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Zip | 60661-1259
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Country | US
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Telephone | 312-756-1778
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Fax | 312-756-1777
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KRISTINE LYN TOHTZ
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Credential | DC
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Telephone | 312-756-1778
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 038-010102
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 038-009394
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License Number State | IL
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