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1508125774
LORRETTA G LOGAN
CHICAGO, IL
NPI
1508125774
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 209009531)
Enumeration Date
2012-05-09
Last Update Date
2022-10-24
Business Address
LORRETTA G LOGAN
5841 S MARYLAND AVE
CHICAGO, IL 60637-1443
Phone number: 888-824-0200
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Mailing Address
LORRETTA G LOGAN
150 HARVESTER DR SUITE 300
BURR RIDGE, IL 60527-5919
Phone number:
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