Organization Active NPI

Dr Snead and Associates Integrative Medicine Practice Inc

  • Primary Care Clinic/Center
  • Olympia Fields, IL
National Provider Identifier
1346745577
Registry record updated Mar 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
DR SNEAD AND ASSOCIATES INTEGRATIVE MEDICINE PRACTICE INC
Practice address
20303 Crawford Ave
Olympia Fields, IL 60461-1073
Phone
(708) 748-4487
NPI assigned
Mar 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Robin Dale Snead, MD
Title
Ceo
Phone
(708) 710-0855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

20303 Crawford Ave
Olympia Fields, IL 60461-1073

Mailing address

1538 Dunbar St
Flossmoor, IL 60422-4303
Phone (708) 748-4487

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553558400000",
    "number": "1346745577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1538 DUNBAR ST",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604224303",
            "telephone_number": "708-748-4487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20303 CRAWFORD AVE",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611073",
            "telephone_number": "708-748-4487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR SNEAD AND ASSOCIATES INTEGRATIVE MEDICINE PRACTICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-28",
        "last_updated": "2019-03-26",
        "status": "A",
        "authorized_official_last_name": "SNEAD",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "708-710-0855",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia Fields, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.