Individual
ANDREW ZIDOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1650 MIDTOWN RD, PERU, IL 61354-1200
(815) 220-1122
Mailing address
1650 MIDTOWN RD, PERU, IL 61354-1200
(815) 220-1122
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036136730
IL
Other
Enumeration date
07/12/2012
Last updated
11/14/2017
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