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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. GLEN J SIDLER, M.D.

Active Sole Proprietor

DR. GLEN J SIDLER, M.D. is a Specialist healthcare provider located in WASHINGTON, Illinois. NPI 1043298557 is currently active in the NPPES registry. Verify at CMS.

Specialist · WASHINGTON, IL

Registration Details

NPI Number
1043298557
Provider Type
Individual
Gender
Male
NPI Issued
Jan 4, 2006 (20.42731676524 yrs)
Last Updated
Oct 29, 2014
License
036060332 (IL)
Sole Proprietor
Yes

Practice Information

Address
201 N CUMMINGS LN
WASHINGTON, IL, 615712181
Browse IL providers · Browse ZIP 61571
Phone
3094442005
Fax
3094442006
Primary Specialty
Specialist
174400000X

Other Specialist Providers in WASHINGTON, IL

Name Credential NPI
MS. MARILYN HAERR COTA/L 1417110644
MR. ROBERT A LANE COTA/L 1932362167
REBECCA LINN LAMBERT PTA 1568626463
MRS. CARI ANN ARBUCKLE COTA 1609031129
MS. CYNTHIA MARIE RITTER PTA 1639334733
MRS. ANGELA FAITH NIEUKIRK COTA 1609026061
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.