Green, Logan

Green, Logan is an individual health care provider with primary practice located at 106 S Lincolnway Ste A , North Aurora IL 60542-1597. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Green, Logan can be contacted via phone (815) 757-7966.

Contact Information

Primary practice address
106 S Lincolnway Ste A North Aurora IL 60542-1597
Phone: (815) 757-7966
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1528720703
LBN Legal business name Green, Logan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2021
Last updated Oct 6th, 2021 - about 5 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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