Healthcare Provider Details

I. General information

NPI: 1144526914
Provider Name (Legal Business Name): MICHAEL CHARLES SNABES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/26/2011
Last Update Date: 01/26/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 BARCLAY BLVD
LINCOLNSHIRE IL
60069-3610
US

IV. Provider business mailing address

111 BARCLAY BLVD
LINCOLNSHIRE IL
60069-3610
US

V. Phone/Fax

Practice location:
  • Phone: 847-478-0500
  • Fax: 847-478-9152
Mailing address:
  • Phone: 847-478-0500
  • Fax: 847-478-9152

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number036.097286
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: