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General NPI Number Information
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NPI Number | 1831418540
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Entity Type | Organization
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Legal Business Name | ALTERNATIVE AND COMPLEMENTARY THERAPIES FOR WELLNESS, LTD
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Dates
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Enumeration Date | 05/19/2010
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Last Update Date | 03/14/2011
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Provider Practice Location Address
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Address Line | 120 E OGDEN AVE SUITE 202
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City | HINSDALE
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State | IL
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Zip | 60521-3542
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Country | US
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Telephone | 630-655-9480
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Fax |
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Provider Business Mailing Address
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Address Line | 601 KINGSBRIDGE DR
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City | CAROL STREAM
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State | IL
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Zip | 60188-4360
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | COFOUNDER
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Name | DR. EMILY ORNELAS
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Credential | DC
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Telephone | 630-965-7225
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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 | 038011691
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License Number State | IL
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