Douglas Sidle in Chicago - Facial Plastic Surgery
Douglas Sidle - NPI 1730179482
Douglas Sidle is a Facial Plastic Surgery in Chicago, Illinois. Douglas Sidle practices all healthcare services and medical treatments related to Facial Plastic Surgery. The NPI Number for Douglas Sidle is 1730179482. The last update date is 2007-07-09.
Douglas Sidle's current location address is 680 N Lake Shore Dr, Chicago, Illinois. You can contact this provider via phone number 3126954022. The mailing address for Douglas Sidle is 680 N Lake Shore Dr, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglas Sidle |
|---|---|
| Address | 680 N Lake Shore Dr, Chicago, Illinois |
| Phone Number | 3126954022 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1730179482 |
|---|---|
| Provider Enumeration Date | 2005-10-25 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 680 N Lake Shore Dr |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606114546 |
| Phone Number | 3126954022 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Facial Plastic Surgery |
|---|---|
| Taxonomy | 207Ys0123X |
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Definition: An otolaryngologist who specializes in facial plastic surgery. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Douglas Sidle?
The Douglas Sidle has been issued the NPI (National Provider Identifier) 1730179482 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Douglas Sidle is geographically located?
The Douglas Sidle is physically situated at the following location: 680 N Lake Shore Dr, Chicago, IL, 606114546.
What is Douglas Sidle's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Douglas Sidle is Facial Plastic Surgery, and the taxonomy classification code that categorizes this area of expertise is 207Ys0123X.
On what date did the Centers for Medicare & Medicaid Services assign the 1730179482 to Douglas Sidle?
The Centers for Medicare & Medicaid Services assigned the 1730179482 to Douglas Sidle on 2005-10-25.
As of what date were the details related to Douglas Sidle most recently updated or revised?
The information pertaining to Douglas Sidle, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.