Individual
DR. JAMES KENNETH SMEDEGARD
Active
Individual
DR. JAMES KENNETH SMEDEGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036071573
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036071573
—
IL
01
—
055429
VALUE BEHAVIORAL HEALTH
IL
01
—
0991516762
BCBS
IL
01
—
12368
JOHN HANCOCK
IL
01
—
219043
MAGELLAN
IL
01
—
260015287
RR MEDICARE
IL
01
—
363827229
WPS
IL
01
—
363827229 02
HERITAGE
IL
01
—
7229P
CATERPILLAR
IL
01
—
L029112
CHAMPUS
IL
Enumeration date
10/02/2006
Last updated
07/08/2007
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