Healthcare Provider Details

I. General information

NPI: 1013322031
Provider Name (Legal Business Name): CASSANDRA M SNITOWSKY APRN, AGPCNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2014
Last Update Date: 05/08/2025
Certification Date: 05/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2050 PFINGSTEN RD STE 128
GLENVIEW IL
60026-1324
US

IV. Provider business mailing address

2050 PFINGSTEN RD STE 128
GLENVIEW IL
60026-1324
US

V. Phone/Fax

Practice location:
  • Phone: 847-570-1700
  • Fax: 847-733-5291
Mailing address:
  • Phone: 847-570-1700
  • Fax: 847-733-5291

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number041369803
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number277003221
License Number StateIL
# 3
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number277003221
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: