Individual
DR. ANN FOTIADIS KANDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
106 19TH AVE STE 103, MOLINE, IL 61265-3700
(309) 779-7050
Mailing address
4435 6TH STREET CT, EAST MOLINE, IL 61244-4275
(309) 796-6179
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036.126806
IL
207Q00000X
Family Medicine Physician
Primary
036.126806
IL
207Q00000X
Family Medicine Physician
28332
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1065904
—
IA
05
—
8065904
—
IA
Enumeration date
07/09/2006
Last updated
02/02/2024
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