MARSHA DANIELS SNYDER


Address: Mile Square Health Center, 2045 W. Washington Blvd., Ihc, 2nd Floor, Family Medicine, Chicago, IL 60612
Phone: 3123553504

MARSHA DANIELS SNYDER (NPI# 1902996168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902996168
Entity Type Individual
Full Name MARSHA DANIELS SNYDER
Credential PHD,APRN,BC
Practice Address Mile Square Health Center, 2045 W. Washington Blvd.
Ihc, 2nd Floor, Family Medicine
Chicago
IL 60612
Mailing Address Uic College of Nursing (mc802) 845 S. Damen Ave.
Pma Department, Suite 1022
Chicago
IL 60612-7350
Practice Telephone 3123553504
Practice Fax Number 3124133664
Mailing Telephone 3129968011
Mailing Fax Number 3129967725
Enumeration Date 2006-10-16
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364SP0808X Clinical Nurse Specialist
Specialization: Psych/Mental Health
209001707 IL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL BC/BS 0040030715 01

Other Providers MARSHA SNYDER

NPI Name Taxonomy Address Enumeration
1790883163 Marsha W. Snyder Psychiatry & Neurology 1107 Eaton Ave, Bethlehem, PA 18018-1862 2006-09-20
1760425235 Marsha Snyder Family Medicine 5615 York Rd, New Oxford, PA 17350-9553 2006-06-13

Office Location

Street Address MILE SQUARE HEALTH CENTER , 2045 W. WASHINGTON BLVD.
IHC, 2ND FLOOR, FAMILY MEDICINE
City CHICAGO
State IL
Zip Code 60612

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NPI Name Taxonomy Address Enumeration
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1922625672 Tanya Montgomery Nee Brown Pediatrics 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 2020-06-29
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1275153777 Isac Lim Student in an Organized Health Care Education/Training Program 1234 S. Wells, Chicago, IL 60612 2020-04-24
1578183414 Zachary Belden Student in an Organized Health Care Education/Training Program Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 2020-04-21
1548880560 Christina Nunez Student in an Organized Health Care Education/Training Program 801 S. Paulina Street, M/c 850, Chicago, IL 60612 2020-04-20
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Taxonomy Information

Taxonomy Code 364SP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285187393 Annette Halemeyer Mata Clinical Nurse Specialist 5841 S Maryland Ave, Mc 3077, B440, Chicago, IL 60637-1447 2016-07-26
1477685329 Kathy Devault Clinical Nurse Specialist 1901 W Harrison St, Chicago, IL 60612-3714 2007-03-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1780233940 Esperanza Clinic for Behavioral Health LLC Clinical Nurse Specialist 1100 W Northwest Hwy Ste 114, Mount Prospect, IL 60056-2272 2019-09-10
1194371104 Pamela Sue Fassbinder Clinical Nurse Specialist 939 Galena Square Drive, Galena, IL 61036 2019-08-15
1245384239 Lynette R Swedberg Clinical Nurse Specialist 760 Foxpointe Dr, Sycamore, IL 60178-3221 2007-01-23
1841225588 Deena Alleria Nardi Clinical Nurse Specialist 200 Milburn Ave, Crete, IL 60417-2301 2006-07-11
1538150107 Danneille C Trujillo-hansen Clinical Nurse Specialist 1506 Sioux Dr, Marion, IL 62959-5209 2005-11-02
1740694314 Barbara Moran Clinical Nurse Specialist 3815 Highland Ave, N. Pavilion 2nd Floor, Downers Grove, IL 60515-1500 2014-06-11
1740596543 Jean M Tucker Clinical Nurse Specialist 1375 E Schaumburg Rd, Suite 220, Schaumburg, IL 60194-5166 2010-08-31
1972744589 Margaret A Hahn Clinical Nurse Specialist 919 N Plum Grove Rd, Suite C, Schaumburg, IL 60173-5144 2009-03-11
1003031576 Alyson G Wolz Clinical Nurse Specialist 202 S. Pershing St., Goya Health, Ltd, Energy, IL 62933 2007-04-17
1437297637 Jane A. Hawksley Clinical Nurse Specialist 1341 Warren Ave, Downers Grove, IL 60515-3437 2007-02-01
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Competitor

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City CHICAGO
Zip Code 60612

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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