Individual
TARA SHENOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
636 RAYMOND DR STE 205, NAPERVILLE, IL 60563-9791
(630) 717-2300
Mailing address
1707 ATWOOD CIR, NAPERVILLE, IL 60565-6746
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036.152485
IL
208000000X
Pediatrics Physician
57.030199
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2017
Last updated
07/10/2020
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