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NPI Code Detail

MEDICARE: MS. ANITA RENEE SNYDER

MEDICARE:  MS. ANITA RENEE SNYDER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1396799912
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ANITA RENEE SNYDER
Provider Business Mailing Address
First Line : 4542 W SCHUBERT AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60639-1936
Country : US
Telephone Number : 312-391-6950
Fax Number :
Provider Business Practice Location Address
First Line : 4542 W SCHUBERT AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60639-1936
Country : US
Telephone Number : 312-391-6950
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2006
Last Update Date : 07/08/2007

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Directions to “ MS. ANITA RENEE SNYDER ” Practice Location

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