Michelle Lidvall is a Peoria, Illinois based nurse anesthetist with 11 years of experience as Nurse Anesthetist. She completed she graduation in 2014. She may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Michelle Lidvall is 209.011831 for Anesthesia Administration in Illinois. Her current practice location is 221 Ne Glen Oak Ave, Peoria. Patients can reach her at 309-672-5522. Michelle Lidvall is CRNA with specialization in Nurse Anesthetist and she NPI number (Unique professional ID assigned by NPPES) is 1659789410. Michelle Lidvall is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Michelle Lidvall speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Nurse Anesthetist
Credentials:
CRNA
Experience:
11+ years
Medical School Attended:
Other
Graduation Year:
2014
Gender:
Female
Accepts Medicare Assignment:
May Accept
Practice Address:
221 Ne Glen Oak Ave, Peoria, Illinois, 61636-0001
Phone:
309-672-5522
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
1355666371
Enrollment ID:
I20150216001999
NPI Number:
1659789410
NPI Enumeration Date:
24 Jul, 2014
NPI Last Update On:
29 Dec, 2014
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Michelle Lidvall are as mentioned below.
License Number
Specialization
State
Status
209.011831
Anesthesia Administration
Illinois
Primary
041385084
Registered Nurse
Illinois
Secondary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Proctor Hospital (140013)
Peoria, IL
Acute Care Hospital
Methodist Medical Center Of Illinois (140209)
Peoria, IL
Acute Care Hospital
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Michelle Lidvall has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Methodist Medical Center Of Illinois (1355259714)
235
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
221 Ne Glen Oak Ave, Peoria, Illinois
Zip:
61636-0001
Phone Number:
309-672-5522
Fax Number:
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Patients can reach Michelle Lidvall at 221 Ne Glen Oak Ave, Peoria, Illinois or can call to book an appointment on 309-672-5522.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.