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Search › Illinois › 367500000X

Michelle Lidvall, CRNA

NPI 1659789410 · on the registry since 2014

Practice

Address
221 Ne Glen Oak Ave
Peoria, IL 61636
Phone
(309) 672-5522
Organisation at this address
Methodist
Walgreen Co
Epss, Llc- Metro Series
Heartland Home Health Care
Peoria Area Women'S Hospitalist
Inferred from a shared address, not stated in the registry.
Clinicians at this address
175

Registry record

Primary taxonomy
367500000X
367500000X
Also registered as
163W00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-12-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois