Johnny C. Tenegra, M.D.
Family Medicine · Decatur, IL
UnclaimedM.D.NPI 1134483936
- Primary taxonomy
- 207Q00000X
- Enumerated
- 2012-06-27
- Practice location
- Decatur, IL
- Last NPPES update
- 2020-12-07
State licenses
- IL · Physician · LICENSED PHYSICIAN AND SURGEONActivethrough 2029
- IL · Resident physician · TEMPORARY MEDICAL PERMITInactivethrough 2015
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.