Healthcare Provider Details

I. General information

NPI: 1124038666
Provider Name (Legal Business Name): SNC INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2121 ONEIDA ST SUITE # 101
JOLIET IL
60435-6544
US

IV. Provider business mailing address

2121 ONEIDA ST SUITE # 101
JOLIET IL
60435-6544
US

V. Phone/Fax

Practice location:
  • Phone: 815-725-0991
  • Fax:
Mailing address:
  • Phone: 815-725-0991
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number StateIL

VIII. Authorized Official

Name: MR. SHANTILAL T CHHADWA
Title or Position: PRESIDENT
Credential:
Phone: 708-253-7110