Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Stanley J Sidwell IV, MD

Individual provider Internal Medicine Physician · NPI 1073529475

Dr. Stanley J Sidwell IV, MD is an Internal Medicine Physician in Alton, Illinois. Licensed in Illinois and Missouri. Registered with an NPI since 2006.

Licensed in
IL, MO
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1 Memorial Dr
Alton, IL 62002-6722
Phone: (618) 463-7240
Fax: (618) 463-7216
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 036063407 (IL)
Internal Medicine Physician Taxonomy 207R00000X · Licence R5A64 (MO)

Record details

NPI number1073529475
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 31, 2006
Last updated in NPPESDecember 16, 2019
Certification dateDecember 16, 2019

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