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Contact Information

JAMES J HERDEGEN, MD
1740 W TAYLOR ST
CHICAGO, IL60612-7232
 Phone: 866-600-2273
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JAMES J HERDEGEN · (Male)

NPI Number 1184737793
Status Active
Credentials MD
Entity Individual
Enumeration date 08/16/2006
Last updated 07/29/2025 - About 10 months ago
Sole proprietor 1 No
Identifiers
  • IL License # 036078423
  • WI License # 75092
  • WI Medicaid 1003255818
  • IL Other 0001633166 BCBS PROVIDER #
  • IL Other 0021647388 BCBS PROVIDER #
  • IL Other 0040154978 BCBS PROVIDER #
  • IL Other 0081644641 BCBS PROVIDER #
Hospital affiliation(s)
  • RUSH OAK PARK HOSPITAL - (Acute Care)
    520 S MAPLE AVE
    OAK PARK, IL 60304
  • RUSH UNIVERSITY MEDICAL CENTER - (Acute Care)
    1653 WEST CONGRESS PARKWAY
    CHICAGO, IL 60612
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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