Healthcare Provider Details

I. General information

NPI: 1831059542
Provider Name (Legal Business Name): CATHERINE ANN SNYDER LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CATHERINE ANN HOGLE LPN

II. Dates (important events)

Enumeration Date: 11/14/2025
Last Update Date: 11/14/2025
Certification Date: 11/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1780 DUPONT AVE
MORRIS IL
60450-7219
US

IV. Provider business mailing address

1780 DUPONT AVE
MORRIS IL
60450-7219
US

V. Phone/Fax

Practice location:
  • Phone: 815-830-6861
  • Fax:
Mailing address:
  • Phone: 815-830-6861
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number043.111207
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: