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
Phone: (847) 232-3447
Fax: (224) 678-0001
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942352125 | NPPES |
| Illinois | Other | 036075026 | STATE LICENSE |
| Illinois | MEDICAID | 036075026 | STATE LICENSE |
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