STEVEN J LIDVALL

ROCKFORD, IL
NPI1013946649
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  036059658)
Enumeration Date2006-07-03
Last Update Date2009-11-24
Business Address
Dr. STEVEN J LIDVALL MD
1215 N ALPINE RD
ROCKFORD, IL 61107-2201
Phone number: 815-391-7807
Mailing Address
Dr. STEVEN J LIDVALL MD
PO BOX 1567
ROCKFORD, IL 61110-0067
Phone number: