Cook Logan, Wanda
Cook Logan, Wanda is an individual health care provider with primary practice located at 5111 Saulk Trail , Richton Park IL 60471. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Ultrasound, which is considered as her primary health care specialty. Cook Logan, Wanda can be contacted via phone (219) 836-4702.Contact Information
Primary practice address
5111 Saulk Trail
Richton Park IL 60471
Phone: (219) 836-4702
Fax: (219) 841-7004
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Ultrasound | 2085U0001X | 156765 | Illinois |
Profile Details
| NPI number | 1548916000 |
|---|---|
| LBN Legal business name | Cook Logan, Wanda |
| Credentials | RT,R DMS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2022 |
| Last updated | Feb 23rd, 2022 - about 4 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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