NICHOLAS DARSHAN TOLAT

QUINCY, IL
NPI1023577939
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: IL  036166298)
Additional Taxonomies207R00000X Internal Medicine
(Licence: LA  330478)
Enumeration Date2019-03-19
Last Update Date2023-10-04
Business Address
NICHOLAS DARSHAN TOLAT
1005 BROADWAY ST
QUINCY, IL 62301-2834
Phone number: 217-223-1200
Mailing Address
NICHOLAS DARSHAN TOLAT
1005 BROADWAY ST
QUINCY, IL 62301-2834
Phone number: 217-223-1200