Marilyn Snook, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

085-003110 Issued in IL

Practice address

1300 Franklin Ave
Suite 230-C
Normal, IL 61761-3588

Phone

(888) 220-6432

Fax

(309) 268-2952

NPI assigned

Oct 26, 2007

Last updated

Dec 14, 2010By 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

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: msnook51154@direct.peacehealth.org

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292284800000",
    "number": "1992984975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 MCCLINTOCK DR",
            "address_2": "SUITE 202",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605270844",
            "telephone_number": "888-220-6432",
            "fax_number": "630-654-4253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 FRANKLIN AVE",
            "address_2": "SUITE 230-C",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617613588",
            "telephone_number": "888-220-6432",
            "fax_number": "309-268-2952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNOOK",
        "first_name": "MARILYN",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-26",
        "last_updated": "2010-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085-003110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Elizabeth Smith, MED, LAT, ATC
• Susan Smith, DPT
• Tiesha Smith
• Zoe Smith, RBT
• Sarah Smock, APN,CNP
• Alan Sobery, R. PH.
• Dorene Solava, PT
• Jill Ellyn Sparrow, DT
• Stephanie Sprague, ST
• Pramern Sriratana, M.D.

• Medical Physician Assistant in Normal, IL
• Providers in Normal, IL by specialty
• Medical Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; 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.