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WANDA COOK LOGAN, RT,R DMS

Active

WANDA COOK LOGAN, RT,R DMS is a Diagnostic Ultrasound healthcare provider located in RICHTON PARK, Illinois. NPI 1548916000 is currently active in the NPPES registry. Verify at CMS.

Diagnostic Ultrasound · RICHTON PARK, IL

Registration Details

NPI Number
1548916000
Provider Type
Individual
Gender
Female
NPI Issued
Feb 23, 2022 (4.5057494959508 yrs)
Last Updated
Feb 23, 2022
License
156765 (IL)

Practice Information

Address
5111 SAULK TRAIL
RICHTON PARK, IL, 60471
Browse IL providers · Browse ZIP 60471
Phone
2198364702
Fax
2198417004
Primary Specialty
Diagnostic Ultrasound
2085U0001X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.