Provider Demographics
NPI:1013322031
Name:SNITOWSKY, CASSANDRA M (APRN, AGPCNP-BC)
Entity Type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:M
Last Name:SNITOWSKY
Suffix:
Gender:F
Credentials:APRN, AGPCNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2050 PFINGSTEN RD STE 128
Mailing Address - Street 2:
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60026-1324
Mailing Address - Country:US
Mailing Address - Phone:847-570-1700
Mailing Address - Fax:847-733-5291
Practice Address - Street 1:2050 PFINGSTEN RD STE 128
Practice Address - Street 2:
Practice Address - City:GLENVIEW
Practice Address - State:IL
Practice Address - Zip Code:60026-1324
Practice Address - Country:US
Practice Address - Phone:847-570-1700
Practice Address - Fax:847-733-5291
Is Sole Proprietor?:No
Enumeration Date:2014-06-28
Last Update Date:2019-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041369803163W00000X
IL209011463363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse