Individual provider · Type 1 NPI

John Lidvall, MD

Family Medicine Physician · Peoria, IL

NPI number 1376856559 Active

Practice location

815 Main St
Peoria, IL 61602-1076

Call (309) 672-4977 Map

Mailing address

5100 Reliable Pkwy
Chicago, IL 60686-0001

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X036132696 (IL)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1376856559

John Lidvall, MD's National Provider Identifier is 1376856559, issued on Jul 16, 2010. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Peoria, IL. The record was last updated on Sep 15, 2020.