Individual provider Active NPI

Stephanie Snyder, FNP

  • Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1922376094
Registry record updated Jun 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209009277 Issued in IL
Practice address
1725 W Harrison St
Suite 710
Chicago, IL 60612-3841
Phone
(312) 942-4036
Fax
(312) 942-4168
NPI assigned
Dec 5, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209009277 IL Primary

Addresses

Primary practice location

1725 W Harrison St
Suite 710
Chicago, IL 60612-3841

Mailing address

2307 W Roscoe St
Apartment 1W
Chicago, IL 60618-6245
Phone (847) 987-6732

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
I20120507000185 IL Practitioner - Nurse Practitioner 0446412571 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209009277ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rush University Medical Group CurrentSince Oct 1, 2020 Accepting new patients
Lurie Children's Medical Group Inc CurrentSince Jun 10, 2021 Accepting new patients
Cook County CurrentSince Sep 17, 2020 Accepting new patients
Cook County CurrentSince Sep 17, 2020 Accepting new patients
Rush University Medical Center CurrentSince Oct 1, 2020 Accepting new patients
Cook County Current Accepting new patients
Lurie Children's Medical Group, LLC Past Accepting new patients

Locations

Claims Remittance
Carol Stream, IL 60122

1725 W Harrison St
Ste 710
Chicago, IL 60612
Phone (312) 942-5983

1650 W Harrison St
#430
Chicago, IL 60612
Phone (312) 942-5800

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

2835 N Sheffield Ave
Ste 104
Chicago, IL 60657
Phone (312) 876-4577

225 E Chicago Ave
#118
Chicago, IL 60611

1653 W Congress Pkwy
#622
Chicago, IL 60612
Phone (312) 942-5068

1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100

1650 W Harrison St
Ste 430
Chicago, IL 60612
Phone (312) 942-5013

1725 W Harrison St
Ste 10
Chicago, IL 60612
Phone (312) 563-3700

75 Remittance Dr
Dept 1611
Chicago, IL 60675

1653 W Congress Pkwy
Chicago, IL 60612
Phone (312) 942-3138

2515 N Clark St
Chicago, IL 60614
Phone (312) 227-6010

500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000

225 E Chicago Ave
Chicago, IL 60611
Phone (312) 227-6415

Interoperability endpoints

  • Direct secure messaging: ssnyder5604@direct.rush.rush-health.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339632000000",
    "number": "1922376094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2307 W ROSCOE ST",
            "address_2": "APARTMENT 1W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606186245",
            "telephone_number": "847-987-6732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST",
            "address_2": "SUITE 710",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123841",
            "telephone_number": "312-942-4036",
            "fax_number": "312-942-4168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "STEPHANIE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-05",
        "last_updated": "2012-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209009277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.