Individual
DOUGLAS SIDLE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
676 N SAINT CLAIR ST STE 1200, CHICAGO, IL 60611-3068
(312) 695-8182
(312) 695-4303
Mailing address
676 N SAINT CLAIR ST STE 1200, CHICAGO, IL 60611-3068
(312) 695-8182
(312) 695-4303
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
036106579
IL
207YS0123X
Facial Plastic Surgery Physician
Primary
—
IL
Other
Enumeration date
10/25/2005
Last updated
04/07/2026
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