LOGAN LEW

CHICAGO, IL
NPI1093541021
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2024-09-09
Last Update Date2024-09-09
Business Address
LOGAN LEW
1620 W HARRISON ST
CHICAGO, IL 60612-3801
Phone number: 312-942-4200
Mailing Address
LOGAN LEW
1620 W HARRISON ST
CHICAGO, IL 60612-3801
Phone number:
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