Individual provider · Type 1 NPI

Nicole Gabriel Tenegra, MD

Family Medicine Physician · Decatur, IL

NPI number 1992234504 Active

Practice location

102 W Kenwood Ave
Decatur, IL 62526-4368

Fax (217) 872-0849

Mailing address

PO Box 19644
Springfield, IL 62794-9644

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X125070186 (IL)
Family Medicine Physician Primary 207Q00000X036-153194 (IL)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1992234504

Nicole Gabriel Tenegra, MD's National Provider Identifier is 1992234504, issued on Jun 7, 2017. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Decatur, IL. The record was last updated on Dec 7, 2020.