Individual
LYNN VIDAKOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2901 W KK RIVER PKWY STE 101, MILWAUKEE, WI 53215-3660
(414) 649-7708
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
77097
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036114330
—
IL
05
—
100206256
—
WI
05
—
1114933660
—
WI
01
—
P00259786
RAILROAD MEDICARE NUMBER
IL
Enumeration date
08/01/2006
Last updated
01/24/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us