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Diana T Widicus, MD
Family Medicine Physician in Rochester, Illinois
NPI 1851471072

Diana T Widicus is a Family Medicine Physician based in Springfield, IL. Diana T Widicus practices in Rochester, IL and has the professional credentials of MD. The NPI Number for Diana T Widicus is 1851471072 and holds a License No. 36062017 (Illinois).

The current practice location address for Diana T Widicus is 300 Sattley St, Rochester, IL and can be reached out via phone at 217-789-3630 and via fax at 217-498-6812.

Location: 300 Sattley St, Rochester, IL, 62704
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851471072
Provider Name
Diana T Widicus
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
300 Sattley St, Rochester, IL, 62704
Phone Number
217-789-3630
Fax Number
217-498-6812
Provider Enumeration Date
10/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8415046 01 IL BCBS
institution
Provider Business Practice Location Address Details
Address
300 Sattley St
City
Rochester
State
Illinois
Zip
62563-9241
Phone Number
217-789-3630
Fax Number
217-498-6812
person
Provider Business Mailing Address Details
Address
300 Sattley St
City
Rochester
State
Illinois
Zip
62563-9241
Phone Number
217-789-3630
Fax Number
217-498-6812
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
36062017 (Illinois)
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 is not limited by age, sex, organ system, or disease entity.
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