Provider Demographics
NPI:1447478748
Name:ZWART NUTRITION CONSULTING
Entity type:Organization
Organization Name:ZWART NUTRITION CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:LU
Authorized Official - Last Name:ZWART
Authorized Official - Suffix:
Authorized Official - Credentials:MNT
Authorized Official - Phone:708-562-7935
Mailing Address - Street 1:27 BELLE DR
Mailing Address - Street 2:
Mailing Address - City:NORTHLAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60164-2205
Mailing Address - Country:US
Mailing Address - Phone:708-562-7935
Mailing Address - Fax:708-562-7935
Practice Address - Street 1:27 BELLE DR
Practice Address - Street 2:
Practice Address - City:NORTHLAKE
Practice Address - State:IL
Practice Address - Zip Code:60164-2205
Practice Address - Country:US
Practice Address - Phone:708-562-7935
Practice Address - Fax:708-562-7935
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL09920813133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL09920813OtherCERTIFICATION NUMBER