Logan, Scott

Logan, Scott is an individual health care provider with primary practice located at 917 Sherwood Dr Ste 200 , Lake Bluff IL 60044-2234. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Logan, Scott can be contacted via phone (847) 232-3447.

Contact Information

Primary practice address
917 Sherwood Dr Ste 200 Lake Bluff IL 60044-2234
Fax: (224) 678-0001
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036075026 Illinois

Profile Details

NPI number 1942352125
LBN Legal business name Logan, Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2007
Last updated Jun 11th, 2024 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1942352125 NPPES
Illinois Other 036075026 STATE LICENSE
Illinois MEDICAID 036075026 STATE LICENSE

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