Organization
ILLUMINATE FUNCTIONAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL KRONEMANN (OWNER/REGISTERED DIETITIAN)
(503) 347-1543
Entity
Organization
Contact information
Practice address
5900 BALCONES DR STE 100, AUSTIN, TX 78731-4298
(503) 347-1543
Mailing address
301 W PANTHER WAY APT 604, HEWITT, TX 76643-3233
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
About Stedi
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