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1013946649
STEVEN J LIDVALL
ROCKFORD, IL
NPI
1013946649
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036059658)
Enumeration Date
2006-07-03
Last Update Date
2009-11-24
Business Address
Dr. STEVEN J LIDVALL MD
1215 N ALPINE RD
ROCKFORD, IL 61107-2201
Phone number: 815-391-7807
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Mailing Address
Dr. STEVEN J LIDVALL MD
PO BOX 1567
ROCKFORD, IL 61110-0067
Phone number:
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