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Contact Information

G G SIDLER, MD
619 JACKSON ST
MORTON, IL61550
 Phone: 309-263-1266
 Fax: 309-263-0653
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for G G SIDLER · (Male)

NPI Number 1396844932
Status Active
Credentials MD
Entity Individual
Enumeration date 09/21/2006
Last updated 07/01/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036057565
  • IL Other L78569 PIN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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