Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 209011463 | IL |
NPI | 1013322031 |
---|---|
Provider Name | Cassandra M Snitowsky |
First Address | Glenview, IL 60026-1324 |
Second Address | Glenview, IL 60026-1324 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2014 |
Last Update Date | 24/05/2019 |