Mary Morgan Snediker, NP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

209008895 Issued in IL

Practice address

1625 Sheridan Rd
Wilmette, IL 60091-1824

Phone

(847) 251-1500

Fax

(847) 251-2191

NPI assigned

Sep 13, 2011

Last updated

Jul 9, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436400000000",
    "number": "1972885374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 REMINGTON BLVD 100",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404707",
            "telephone_number": "630-914-2468",
            "fax_number": "630-914-2469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 SHERIDAN RD",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600911824",
            "telephone_number": "847-251-1500",
            "fax_number": "847-251-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNEDIKER",
        "first_name": "MARY",
        "middle_name": "MORGAN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-13",
        "last_updated": "2015-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209008895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Slattery
• Caroline Mary Smith
• Charles Hawley Smith, LCSW
• John Smith, M.D.F.A.C.S.
• Joseph Frank Smoley, PHD
• Jaime So, PT
• Neil Edward Soifer, MD
• Sofie Solomon
• Sarah Gruettner Soloveychik
• Samantha Juliet Sophiea-Fairmont, MS, CCC-SLP

• Adult Health Nurse Practitioner in Wilmette, IL
• Providers in Wilmette, IL by specialty
• Adult Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; 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.