Traylor, Logan
Traylor, Logan is an individual health care provider with primary practice located at 4440 W 95Th St , Oak Lawn IL 60453-2600. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Traylor, Logan can be contacted via phone (708) 684-5375.Contact Information
Primary practice address
4440 W 95Th St
Oak Lawn IL 60453-2600
Phone: (708) 684-5375
Fax: (708) 684-1028
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 125.067136 | Illinois |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 01079994A | Indiana |
Profile Details
| NPI number | 1356723357 |
|---|---|
| LBN Legal business name | Traylor, Logan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 25th, 2015 |
| Last updated | Oct 6th, 2025 - 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 | 1356723357 | NPPES |
| Ohio | MEDICAID | 0345541 |
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