Individual
ERIC NATHAN SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
304 RANDALL RD, GENEVA, IL 60134-4200
(630) 938-2200
(630) 938-2205
Mailing address
304 RANDALL RD, GENEVA, IL 60134-4200
(630) 938-2200
(630) 938-2205
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
01082395A
IN
390200000X
Student in an Organized Health Care Education/Training Program
11018663A
IN
Other
Enumeration date
05/16/2016
Last updated
03/27/2024
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