Chastain, Logan K

Chastain, Logan K is an individual health care provider with primary practice located at 800 E Carpenter St , Springfield IL 62769-5000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Chastain, Logan K can be contacted via phone (217) 544-6464.

Contact Information

Primary practice address
800 E Carpenter St Springfield IL 62769-5000
Phone: (217) 544-6464
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 4301501783 Michigan
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 036-155212 Illinois

Profile Details

NPI number 1578945846
LBN Legal business name Chastain, Logan K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2015
Last updated Oct 23rd, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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