SAMUEL LOGAN

ELK GROVE VILLAGE, IL
NPI1386012482
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IL  277000181)
Enumeration Date2015-09-04
Last Update Date2020-08-12
Business Address
SAMUEL LOGAN APN
800 BIESTERFIELD RD
ELK GROVE VILLAGE, IL 60007-3361
Phone number: 847-690-1858
Mailing Address
SAMUEL LOGAN APN
800 BIESTERFIELD RD
ELK GROVE VILLAGE, IL 60007-3361
Phone number: 847-690-1858
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