person
Dr. Glen J Sidler, MD
Specialist in Washington, Illinois
NPI 1043298557

Glen J Sidler is a Specialist based in Washington, IL. Glen J Sidler practices in Washington, IL and has the professional credentials of MD. The NPI Number for Glen J Sidler is 1043298557 and holds a License No. 036060332 (Illinois).

The current practice location address for Glen J Sidler is 201 N Cummings Ln, Washington, IL and can be reached out via phone at 309-444-2005 and via fax at 309-444-2006.

Location: 201 N Cummings Ln, Washington, IL, 61571-2181
person
Provider Profile Details
NPI Number
1043298557
Provider Name
Glen J Sidler
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
201 N Cummings Ln, Washington, IL, 61571-2181
Phone Number
309-444-2005
Fax Number
309-444-2006
Provider Enumeration Date
01/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1043298557 01 IL NPI
036060332 05 IL
institution
Provider Business Practice Location Address Details
Address
201 N Cummings Ln
City
State
Zip
61571-2181
Phone Number
309-444-2005
Fax Number
309-444-2006
person
Provider Business Mailing Address Details
Address
201 N Cummings Ln
City
State
Zip
61571-2181
Phone Number
309-444-2005
Fax Number
309-444-2006
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
036060332 (Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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