Healthcare Provider Details

I. General information

NPI: 1487775060
Provider Name (Legal Business Name): APPLE A DAY CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

304 E RAND ROAD SUITE 285
ARLINGTON HEIGHTS IL
60004
US

IV. Provider business mailing address

304 E RAND ROAD SUITE 285
ARLINGTON HEIGHTS IL
60004
US

V. Phone/Fax

Practice location:
  • Phone: 847-577-4455
  • Fax: 847-577-4557
Mailing address:
  • Phone: 847-577-4455
  • Fax: 847-577-4557

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number StateIL

VIII. Authorized Official

Name: MS. TARYN A DECICCO
Title or Position: OWNER
Credential: ND MS CCN
Phone: 847-577-4455