Organization
REJUV ROLLING MEADOWS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN CHRISTOPHER SNIDER CNP (OWNER)
(309) 678-4243
Entity
Organization
Contact information
Practice address
3501 ALGONQUIN RD, ROLLING MEADOWS, IL 60008-3103
(847) 457-4378
Mailing address
101 OAK VALLEY DR, GOODFIELD, IL 61742-9502
(309) 678-4243
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
036095342
IL
Other
Enumeration date
05/17/2012
Last updated
05/17/2012
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