Provider Demographics
NPI:1245293794
Name:SIGLER, JAMES RANDALL (DO)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:RANDALL
Last Name:SIGLER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 547
Mailing Address - Street 2:
Mailing Address - City:MOUNT CARMEL
Mailing Address - State:IL
Mailing Address - Zip Code:62863-0547
Mailing Address - Country:US
Mailing Address - Phone:618-262-5668
Mailing Address - Fax:618-262-4539
Practice Address - Street 1:909 W 3RD ST
Practice Address - Street 2:
Practice Address - City:MOUNT CARMEL
Practice Address - State:IL
Practice Address - Zip Code:62863-1718
Practice Address - Country:US
Practice Address - Phone:618-262-5668
Practice Address - Fax:618-262-4539
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-07
Last Update Date:2010-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-074029204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILFE0450POtherSIHO
IL216459700OtherUS DEPT OF LABOR
IL149929OtherHEALTHLINK
IL9300043OtherBLUE CROSS BLUE SHIELD
ILFE0450POtherSIHO
IL781750Medicare ID - Type UnspecifiedMEDICARE