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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
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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