Individual
ROULA Y. TANIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
927 BROADWAY ST, QUINCY, IL 62301-2719
(217) 224-6423
(217) 228-2390
Mailing address
927 BROADWAY ST STE 200, QUINCY, IL 62301-2726
(217) 224-6423
(217) 228-2390
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036115121
IL
207RN0300X
Nephrology Physician
Primary
036115121
IL
Other
Enumeration date
07/23/2006
Last updated
11/27/2023
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