Diana T Widicus, MD | |
300 Sattley St, Rochester, IL 62563-9241 | |
(217) 789-3630 | |
(217) 498-6812 |
Full Name | Diana T Widicus |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 300 Sattley St, Rochester, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851471072 | NPI | - | NPPES |
8415046 | Other | IL | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 36062017 (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
Diana T Widicus, MD 1836 South Macarthur Blvd, Springfield, IL 62704 Ph: (217) 789-1403 | Diana T Widicus, MD 300 Sattley St, Rochester, IL 62563-9241 Ph: (217) 789-3630 |
Erica Lane Conrad, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Sattley St, Rochester, IL 62563 Phone: 217-789-3630 Fax: 217-498-6812 | |
Steven Joseph Lewis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 45 Woodland Trl, Rochester, IL 62563 Phone: 217-836-0766 |