Individual
JOHN M SIGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2921 MONTVALE DR, SPRINGFIELD, IL 62704-5359
(217) 793-9600
(217) 793-9445
Mailing address
5221 S 6TH STREET RD, SUITE 110, SPRINGFIELD, IL 62703-5190
(217) 585-7910
(217) 529-5168
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
016005201
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
016005201
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016005201
—
IL
01
—
P00145756
RR MEDICARE
IL
Enumeration date
01/11/2006
Last updated
04/14/2020
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