Provider Demographics
NPI:1215376918
Name:AN APPLE A DAY NUTRITION, INC.
Entity Type:Organization
Organization Name:AN APPLE A DAY NUTRITION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN
Authorized Official - Prefix:
Authorized Official - First Name:JASMINA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARKOVIC
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:847-208-1936
Mailing Address - Street 1:333 BUSSE HWY
Mailing Address - Street 2:PO BOX 533
Mailing Address - City:PARK RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60068-7956
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1324 1/2 FOREST AVE
Practice Address - Street 2:
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201-4791
Practice Address - Country:US
Practice Address - Phone:847-208-1936
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-17
Last Update Date:2013-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL164004339133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty