Individual
NATHAN LIDSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1481 HOLLIS RDG, CLARKSVILLE, TN 37043-1522
(847) 987-2121
Mailing address
1481 HOLLIS RDG, CLARKSVILLE, TN 37043-1522
(479) 876-2121
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
60432
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036078568
BCBS
IL
05
—
0360785681
—
IL
05
—
0360785682
—
IL
01
—
P00249292
RAILROAD MEDICARE
IL
Enumeration date
05/08/2006
Last updated
05/13/2024
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