RICHARD HENRY LOGAN

OAK PARK, IL
NPI1043085871
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IL  209.028575)
Enumeration Date2023-11-21
Last Update Date2024-05-15
Business Address
RICHARD HENRY LOGAN PMHNP-BC
1010 LAKE ST STE 110
OAK PARK, IL 60301-1106
Phone number: 331-529-7413
Mailing Address
RICHARD HENRY LOGAN PMHNP-BC
8649 NEW ENGLAND AVE
BURBANK, IL 60459-2216
Phone number: 708-548-8308
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