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General NPI Number Information
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NPI Number | 1790631141
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Entity Type | Organization
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Legal Business Name | KENIG ALL ROUNDED WELLNESS LLC
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Dates
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Enumeration Date | 03/09/2026
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Last Update Date | 03/09/2026
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Provider Practice Location Address
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Address Line | 129 S ROSELLE RD STE 203
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City | SCHAUMBURG
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State | IL
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Zip | 60193-5539
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Country | US
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Telephone | 224-562-8297
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Fax | 888-783-4262
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Provider Business Mailing Address
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Address Line | 129 S ROSELLE RD STE 203
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City | SCHAUMBURG
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State | IL
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Zip | 60193-5539
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Country | US
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Telephone | 224-562-8297
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Fax | 888-783-4262
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | DOLORITA HAKOMA ONGURU
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Credential |
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Telephone | 202-867-5162
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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