Healthcare Provider Details
I. General information
NPI: 1942003934
Provider Name (Legal Business Name): AN APPLE A DAY HEALTH CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/27/2025
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
436 SUNSET CT
MT ZION IL
62549-1520
US
IV. Provider business mailing address
77 MCLEOD AVE
CHARLESTON IL
61920-2951
US
V. Phone/Fax
- Phone: 217-872-5452
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KALEB
BROWN
Title or Position: CHIROPRACTOR
Credential: DC
Phone: 217-872-5452