Individual
STACY P SNYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3000 N HALSTED ST, STE 525, CHICAGO, IL 60657-5188
(773) 433-3130
Mailing address
3000 N HALSTED ST, STE 525, CHICAGO, IL 60657-5188
(773) 433-3130
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
085004788
IL
Other
Enumeration date
11/06/2013
Last updated
04/05/2019
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