Individual
SHANA LYNN RADOMSKI
Active
Individual
SHANA LYNN RADOMSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT, DO
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
036181040
IL
2084N0400X
Neurology Physician
2022-02097
NC
2084N0400X
Neurology Physician
Primary
5101023264
MI
2084V0102X
Vascular Neurology Physician
036181040
IL
Other
Enumeration date
06/06/2017
Last updated
07/13/2026
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