| Dr Stanley J Sidwell Iv, MD | |
| 1 Memorial Dr, Alton, IL 62002-6722 | |
| (618) 463-7240 | |
| (618) 463-7216 | 
| Full Name | Dr Stanley J Sidwell Iv | 
|---|---|
| Gender | Male | 
| Speciality | Internal Medicine | 
| Location | 1 Memorial Dr, Alton, Illinois | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1073529475 | NPI | - | NPPES | 
| 0360634071 | Medicaid | IL | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | R5A64 (Missouri) | Secondary | 
| 207R00000X | Internal Medicine | 036063407 (Illinois) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Stanley J Sidwell Iv, MD 670 Mason Ridge Center Dr, Suite 300, Saint Louis, MO 63141-8573 Ph: (618) 463-7240 | Dr Stanley J Sidwell Iv, MD 1 Memorial Dr, Alton, IL 62002-6722 Ph: (618) 463-7240 | 
| Ibrahim B.i. Elayyan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Saint Anthonys Way, Alton, IL 62002 Phone: 314-317-0600 Fax: 314-317-0606 | |
| Dr. Matthew Austin Nations, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Memorial Dr, Alton, IL 62002 Phone: 618-463-7240 | |
| Mr. David Robert Riedel, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4 Memorial Dr Ste 230, Alton, IL 62002 Phone: 618-463-7874 Fax: 618-463-7846 | |
| Dr. Edward B Blair Jr., M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2 Saint Anthonys Way, Suite 205, Alton, IL 62002 Phone: 618-462-2222 Fax: 618-463-5004 | |
| Dr. William Ray Bartley, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Professional Dr, Suite 220, Alton, IL 62002 Phone: 618-463-8626 Fax: 618-463-8688 | |
| Dr. Ekanga Sunday Petters, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Memorial Dr, Alton, IL 62002 Phone: 618-463-7240 |