Individual
DIANA T WIDICUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 SATTLEY ST, ROCHESTER, IL 62563-9241
(217) 789-3630
(217) 498-6812
Mailing address
1836 SOUTH MACARTHUR BLVD, SPRINGFIELD, IL 62704
(217) 789-1403
(217) 789-1825
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36062017
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8415046
BCBS
IL
Enumeration date
10/16/2006
Last updated
12/30/2021
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