RACHEL L LOGAN

FORT WAYNE, IN
NPI1255758595
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207RC0200X Internal Medicine, Critical Care Medicine
(Licence: IN  02005941A)
Additional Taxonomies207R00000X Internal Medicine
(Licence: WA  OP60960908)
207R00000X Internal Medicine
(Licence: NC  2020-00533)
207RC0200X Internal Medicine, Critical Care Medicine
(Licence: WA  OP60960908)
207RC0200X Internal Medicine, Critical Care Medicine
(Licence: IL  036143306)
Enumeration Date2014-03-25
Last Update Date2024-04-16
Business Address
RACHEL L LOGAN DO
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845-1701
Phone number: 260-266-2020
Mailing Address
RACHEL L LOGAN DO
2657 N RACINE AVE UNIT 1
CHICAGO, IL 60614-1248
Phone number: 215-801-9024