Steven J Lidvall in Rockford - Family Medicine
Steven J Lidvall - NPI 1013946649
Steven J Lidvall is a Family Medicine in Rockford, Illinois. Steven J Lidvall practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Steven J Lidvall is 1013946649. The last update date is 2009-11-24.
Steven J Lidvall's current location address is 1215 N Alpine Rd, Rockford, Illinois. You can contact this provider via phone number 8153917807. The mailing address for Steven J Lidvall is 1215 N Alpine Rd, Rockford, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Steven J Lidvall |
|---|---|
| Address | 1215 N Alpine Rd, Rockford, Illinois |
| Phone Number | 8153917807 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1013946649 |
|---|---|
| Provider Enumeration Date | 2006-07-03 |
| Last Updated Date | 2009-11-24 |
Provider Mailing Address Detail
| Address | 1215 N Alpine Rd |
|---|---|
| City | Rockford |
| State | Illinois (IL) |
| Post Code | 6110722010 |
| Phone Number | 8153917807 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 36059658 |
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Definition: 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 i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36059658 | IL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Steven J Lidvall?
The Steven J Lidvall has been issued the NPI (National Provider Identifier) 1013946649 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Steven J Lidvall?
The Steven J Lidvall is physically situated at 1215 N Alpine Rd, in the city of Rockford, state of IL, with the postal code 6110722010.
What is Steven J Lidvall's specialized field of practice, and what is the corresponding taxonomy classification code?
The Steven J Lidvall's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
On what date did the Steven J Lidvall receive the assignment of its 1013946649 from the Centers for Medicare & Medicaid Services?
The Steven J Lidvall was issued its 1013946649 by the Centers for Medicare & Medicaid Services on 2006-07-03.
As of what date was the information regarding Steven J Lidvall, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Steven J Lidvall, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-11-24.