JOHN LIDVALL

PEORIA, IL
NPI1376856559
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  036132696)
Enumeration Date2010-07-16
Last Update Date2020-09-15
Business Address
JOHN LIDVALL MD
815 MAIN ST
PEORIA, IL 61602-1076
Phone number: 309-672-4977
Mailing Address
JOHN LIDVALL MD
5100 RELIABLE PKWY
CHICAGO, IL 60686-0001
Phone number: 309-672-4809
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