Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LOGAN PRIMARY CARE
Active OrganizationLOGAN PRIMARY CARE is a Physician Assistant organization located in HERRIN, Illinois. NPI 1194913541 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · HERRIN, IL
Registration Details
- NPI Number
- 1194913541
- Provider Type
- Organization
- NPI Issued
- Oct 11, 2007 (18.830103320523 yrs)
- Last Updated
- Oct 11, 2007
- License
-
85003043 (IL)
Practice Information
- Address
-
405 RUSHING DRHERRIN, IL, 629483730Browse IL providers · Browse ZIP 62948
- Phone
- 6189933300
- Fax
- 6189976626
- Primary Specialty
-
Physician Assistant
363A00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.