Individual
MARSHA DANIELS SNYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD,APRN,BC
Contact information
Practice address
MILE SQUARE HEALTH CENTER , 2045 W. WASHINGTON BLVD., IHC, 2ND FLOOR, FAMILY MEDICINE, CHICAGO, IL 60612
(312) 355-3504
(312) 413-3664
Mailing address
UIC COLLEGE OF NURSING (MC802) 845 S. DAMEN AVE., PMA DEPARTMENT, SUITE 1022, CHICAGO, IL 60612-7350
(312) 996-8011
(312) 996-7725
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
209001707
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0040030715
BC/BS
IL
Enumeration date
10/16/2006
Last updated
07/08/2007
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