Individual provider Active NPI

Kelly Rae Glenn-Snyder, N.P.

  • Family Nurse Practitioner
  • Mokena, IL
National Provider Identifier
1700990983
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209000688 Issued in IL
Practice address
19432 Kylemore LN
Mokena, IL 60448-8003
Phone
(708) 479-6132
NPI assigned
Aug 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 041266672 IL
Family Nurse Practitioner 363LF0000X 041266672 IL
Family Nurse Practitioner 363LF0000X 209000688 IL Primary

Addresses

Primary practice location

19432 Kylemore LN
Mokena, IL 60448-8003

Mailing address

19432 Kylemore LN
Mokena, IL 60448-8003
Phone (708) 479-6132

Other practice location 1

20110 Governors Hwy
Olympia Fields, IL 60461-1030
Phone (708) 747-7960

Other identifiers 2

IdentifierTypeStateIssuer
P00147725OtherR/R MEDICARE
IL5686023OtherILMEDICARE PTAN

Other names 1

  • Kelly Rae Glenn Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kglennsnyder100553@Direct.FranciscanAlliance.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040909000641 IL Practitioner - Nurse Practitioner 1759357833 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabilitation Associates of the Midwest, S.C.Group PAC ID 4880597020, 10 clinicians

Practice addresses (Care Compare)

909 E Palatine Rd
Palatine, IL 60074-5551
Phone (847) 776-1400

Hospital & facility affiliations

  • Franciscan Health Olympia & Chicago Heights Hospital, Olympia Fields, IL, CCN 140172

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
041266672ILMDNurse Practitioner
209000688ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Advocate Health & Hospitals Corp. CurrentSince Jun 14, 2010 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jun 14, 2010 Accepting new patients
Rehabilitation Associates of the Midwest, S.C. CurrentSince Oct 17, 2024 Accepting new patients

Locations

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

29373 Network Pl
Chicago, IL 60673

333 Dixie Hwy
Chicago Hts, IL 60411
Phone (708) 756-0100

21020 Kostner Ave
Matteson, IL 60443
Phone (630) 822-2242

3800 W 203rd St
Ste 202
Olympia Fields, IL 60461
Phone (708) 679-2010

4001 Vollmer Rd
Olympia Flds, IL 60461
Phone (708) 481-8883

20201 Crawford Ave
Olympia Flds, IL 60461
Phone (708) 503-3857

9550 W 167th St
Orland Park, IL 60467
Phone (708) 478-7437

16450 S 97th Ave
Orland Park, IL 60467
Phone (708) 403-6500

909 E Palatine Rd
Palatine, IL 60074
Phone (847) 776-1400

Interoperability endpoints

  • Direct secure messaging: kglennsnyder100553@direct.franciscanalliance.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1700990983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19432 KYLEMORE LN",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604488003",
            "telephone_number": "708-479-6132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19432 KYLEMORE LN",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604488003",
            "telephone_number": "708-479-6132"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20110 Governors Hwy",
            "address_purpose": "LOCATION",
            "city": "Olympia Fields",
            "state": "IL",
            "postal_code": "604611030",
            "country_code": "US",
            "telephone_number": "708-747-7960",
            "fax_number": "708-503-3993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLENN-SNYDER",
        "first_name": "KELLY",
        "middle_name": "RAE",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "041266672",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "041266672",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209000688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "R/R MEDICARE",
            "identifier": "P00147725",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "IL5686023",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kglennsnyder100553@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3700 W 203rd St Ste 301",
            "city": "Olympia Fields",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604611182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "GLENN",
            "middle_name": "RAE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mokena, IL

Sources for this page

Verify at the official NPI Registry.