Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 036-074029 | IL |
NPI | 1245293794 |
---|---|
Provider Name | Dr. James Randall Sigler |
First Address | Mount Carmel, IL 62863-0547 |
Second Address | Mount Carmel, IL 62863-1718 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2006 |
Last Update Date | 26/07/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
149929 | HEALTHLINK (01) | IL |
216459700 | US DEPT OF LABOR (01) | IL |
9300043 | BLUE CROSS BLUE SHIELD (01) | IL |
C50492 | (02) | IL |
FE0450P | SIHO (01) | IL |