Individual provider · Type 1 NPI

Douglas Sidle, MD

Facial Plastic Surgery Physician · Chicago, IL

NPI number 1730179482 Active

Practice location

676 N Saint Clair St Ste 1200
Chicago, IL 60611-3068

Fax (312) 695-4303

Specialties and licenses

TaxonomyCodeLicense
Facial Plastic Surgery Physician Primary 207YS0123X036106579 (IL)

Facial Plastic Surgery Physician: An otolaryngologist who specializes in facial plastic surgery.

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About NPI 1730179482

Douglas Sidle, MD's National Provider Identifier is 1730179482, issued on Oct 25, 2005. The primary taxonomy on file is Facial Plastic Surgery Physician (207YS0123X), and the practice location is in Chicago, IL. The record was last updated on Jul 13, 2026.