NPI 1013946649

Steven J Lidvall, MD

Practitioner Family Medicine Physician Rockford, IL

Practice location

Address: 1215 N Alpine Rd, Rockford, IL 61107-2201
Phone: (815) 391-7807
Mailing address: PO Box 1567, Rockford, IL 61110-0067

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 036059658 (IL)

Other Family Medicine providers in Illinois →

Registry record

NPI: 1013946649
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Jul 2006
Record last updated: 24 Nov 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.