LOGAN VAN POUCKE

CHICAGO, IL
NPI1093660599
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2026-02-28
Last Update Date2026-02-28
Business Address
LOGAN VAN POUCKE
1853 W POLK ST
CHICAGO, IL 60612-4355
Phone number: 630-201-0378
Mailing Address
LOGAN VAN POUCKE
1257 JANE AVE
NAPERVILLE, IL 60540-5644
Phone number: 630-201-0378
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