SearchIllinois208000000X

Lizbeth Didriksen, M.D

NPI 1861501058 · on the registry since 2006

Practice

Address
2160 S State Route 157
Suite B
Glen Carbon, IL 62034
Phone
(618) 692-1212
Fax
(618) 205-4068
Clinicians at this address
4

Registry record

Primary taxonomy
208000000X
208000000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-04-05

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