JOHN LIDVALL, MD

MD

Family Medicine Physician

NPI: 1376856559IndividualAccepts Medicare

Specialties, Licenses & Credentials

Family Medicine PhysicianPrimary

Family Medicine

Code: 207Q00000X

036132696(IL)

CMS Specialties

PrimaryFAMILY PRACTICE

Education

OTHER

Class of 2010

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Contact & Hours

Address: 815 MAIN ST
PEORIA, IL 61602
Phone: (309) 672-4977

Quick Facts

NPI: 1376856559
Entity Type: Individual
Gender: Male
Medicare: Accepted
Specialties: 1
Locations: 1
Years in Practice: 16

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