Logan, Richard Henry

Logan, Richard Henry is an sole proprietor health care provider with primary practice located at 1010 Lake St Ste 110 , Oak Park IL 60301-1106. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Logan, Richard Henry can be contacted via phone (331) 529-7413.

Contact Information

Primary practice address
1010 Lake St Ste 110 Oak Park IL 60301-1106
Phone: (331) 529-7413
Fax: (877) 428-7891
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 209.028575 Illinois

Profile Details

NPI number 1043085871
LBN Legal business name Logan, Richard Henry
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 21st, 2023
Last updated May 15th, 2024 - about 2 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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