Individual
DR. KENNETH WAYNE SCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
125 E PLUMMER BLVD STE A, CHATHAM, IL 62629
(217) 483-3333
(217) 483-4393
Mailing address
125 E PLUMMER BLVD STE A, CHATHAM, IL 62629-8136
(217) 483-3333
(217) 483-4393
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036076398
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036076398
—
IL
Enumeration date
01/24/2007
Last updated
01/04/2022
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