Individual
MANISHA THAROOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
530 N.E GLEN OAK AVE, PEORIA, IL 61637
(309) 655-6384
Mailing address
530 N.E GLEN OAK AVE, PEORIA, IL 61637
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036160559
IL
208M00000X
Hospitalist Physician
Primary
036160559
IL
Other
Enumeration date
06/26/2019
Last updated
11/05/2024
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