Douglas Sidle, MD is a facial plastic surgery otolaryngology in Chicago, IL with 25 years of experience. The provider is an otolaryngologist who specializes in facial plastic surgery. Douglas Sidle, MD NPI is 1730179482. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduation Year:1999
The provider's business location address is:
680 N LAKE SHORE DR
SUITE 1000
CHICAGO, IL
ZIP 60611-546
Phone: (312) 695-4022
The NPI 1730179482 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 10/25/2005 and was last updated on 7/9/2007.