Healthcare Provider Details

I. General information

NPI: 1477392009
Provider Name (Legal Business Name): HEALTHY ALL TIME LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2024
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7124 W 83RD ST
BRIDGEVIEW IL
60455-4034
US

IV. Provider business mailing address

7124 W 83RD ST
BRIDGEVIEW IL
60455-4034
US

V. Phone/Fax

Practice location:
  • Phone: 224-410-6607
  • Fax:
Mailing address:
  • Phone: 708-529-1242
  • Fax: 223-290-1019

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: DANIA ALNATSHEH
Title or Position: MANAGER
Credential:
Phone: 224-666-3548