Individual
EDWARD J SNYDER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2434 S WOLF RD, WESTCHESTER, IL 60154
(708) 562-6822
Mailing address
950 N YORK RD, 104, HINSDALE, IL 60521
(708) 562-6822
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036065484
IL
208600000X
Surgery Physician
2021-00678
NC
208600000X
Surgery Physician
53525
KY
208600000X
Surgery Physician
G177437
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036065484
—
IL
Enumeration date
11/01/2006
Last updated
11/08/2023
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