Healthcare Provider Details

I. General information

NPI: 1346409935
Provider Name (Legal Business Name): JAMES F SNAY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2008
Last Update Date: 06/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1355 N DEARBORN ST APT 406
CHICAGO IL
60610-5884
US

IV. Provider business mailing address

13255 NORTH DEARBORN #406
CHICAGO IL
60610-5884
US

V. Phone/Fax

Practice location:
  • Phone: 312-202-9233
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number236619
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: