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NPI Code Detail

MEDICARE: GRACE EMILY YAJUN SNIDER

MEDICARE: GRACE EMILY YAJUN SNIDER
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 Pathologist

General Provider Information

NPI Number : 1528762721
Entity Type Code : Individual
Provider Name (Legal Business Name) : GRACE EMILY YAJUN SNIDER
Provider Business Mailing Address
First Line : 1151 E US HIGHWAY 36
Second Line :
City : TUSCOLA
State : IL
Zip : 61953-8043
Country : US
Telephone Number : 217-991-0289
Fax Number :
Provider Business Practice Location Address
First Line : 101 W WINDSOR RD
Second Line :
City : URBANA
State : IL
Zip : 61802-6663
Country : US
Telephone Number : 217-991-0289
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2023
Last Update Date : 03/30/2023

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Directions to “ GRACE EMILY YAJUN SNIDER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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