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DR. GLEN J SIDLER M.D.
NPI 1043298557
Specialist in Washington, IL

Active since January 04, 2006
201 N CUMMINGS LN, WASHINGTON, IL 61571(309) 444-2005(309) 444-2006 Get Directions Write a Review

NPPES record last updated: October 29, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Glen J Sidler M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GLEN J SIDLER M.D. (NPI 1043298557) is an individual specialist in Washington, Illinois, licensed in Illinois (036060332) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1043298557
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. GLEN J SIDLERCredential: M.D.
Location Address201 N CUMMINGS LNWashington, IL 61571-2181
Mailing Address201 N Cummings Ln, P.o. Box 310Washington, IL 61571-2181 · (309) 444-2005 · Fax (309) 444-2006
Phone(309) 444-2005
Fax(309) 444-2006
Sole ProprietorYes
Enumeration DateJanuary 4, 2006
Last NPPES UpdateOctober 29, 2014
✔ NPI 1043298557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in IL · 036060332
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
201 N CUMMINGS LN, Washington, IL 61571
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Other Identifiers 4

Other1043298557IL · Npi
Medicare ID-Type Unspecified583150IL
Medicaid036060332IL
Medicare UPIND14365IL

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ILLINI FAMILY MEDICINE
Family Medicine
201 N CUMMINGS LN
WASHINGTON, IL 61571
Tazewell County (309) 444-3627
DAVID E. DILLON ED.D.
Psychologist (Clinical)
201 N CUMMINGS LN
WASHINGTON, IL 61571
Tazewell County (309) 444-3627
LEE T KINSINGER MD
Family Medicine
201 N CUMMINGS LN
WASHINGTON, IL 61571
Tazewell County (309) 444-3627
JILL OBERLE APN
Clinical Nurse Specialist (Adult Health)
201 N CUMMINGS LN
WASHINGTON, IL 61571
Tazewell County (309) 444-3627
GERILYN AHRENS PA-C.
Physician Assistant (Medical)
201 N CUMMINGS LN
WASHINGTON, IL 61571
Tazewell County (309) 444-3627
JILL E SCHERTZ PA-C.
Physician Assistant (Medical)
201 N CUMMINGS LN
WASHINGTON, IL 61571
Tazewell County (309) 444-3627
STACEY HERRING
Nurse Practitioner (Family)
201 N CUMMINGS LN
WASHINGTON, IL 61571
Tazewell County (309) 444-3627
DANIELLE PRAY FNP
Nurse Practitioner (Family)
201 N CUMMINGS LN
WASHINGTON, IL 61571
Tazewell County (309) 444-3627

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glen Sidler's NPI number?

The NPI number for Glen Sidler is 1043298557. It was assigned to this individual provider in the NPPES registry on January 4, 2006.

Where is Glen Sidler located?

Glen Sidler practices at 201 N Cummings Ln, Washington, IL 61571. The listed phone number is (309) 444-2005.

What is Glen Sidler's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Glen Sidler was last updated on October 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.