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NPI Code Detail

MEDICARE: JULIE SNYDER

MEDICARE: JULIE SNYDER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist146011258IL

General Provider Information

NPI Number : 1114275765
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE SNYDER
Provider Business Mailing Address
First Line : 3009 N CLIFTON AVE
Second Line : #103
City : CHICAGO
State : IL
Zip : 60657-4333
Country : US
Telephone Number : 773-633-3772
Fax Number :
Provider Business Practice Location Address
First Line : 3009 N CLIFTON AVE
Second Line : #103
City : CHICAGO
State : IL
Zip : 60657-4333
Country : US
Telephone Number : 773-633-3772
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2012
Last Update Date : 08/29/2012

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Directions to “ JULIE SNYDER ” Practice Location

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