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Individual

DR. THOMAS W SNICKENBERGER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1501 S CALIFORNIA AVE, CHICAGO, IL 60608-1732
(773) 257-6663
Mailing address
3537 PAYSPHERE CIR, CHICAGO, IL 60674-0035
(708) 786-2900

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036-062455-1
IL
Enumeration date
12/01/2005
Last updated
07/08/2007
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