Individual
JAMES J. HERDEGEN
Active
Individual
JAMES J. HERDEGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036078423
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
75092
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001633166
BCBS PROVIDER #
IL
01
—
0021647388
BCBS PROVIDER #
IL
01
—
0040154978
BCBS PROVIDER #
IL
01
—
0081644641
BCBS PROVIDER #
IL
05
—
1003255818
—
WI
Enumeration date
08/16/2006
Last updated
07/29/2025
Update your record
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