Logan, Wren Willow

Logan, Wren Willow is an individual health care provider with primary practice located at 3948 N Sheridan Rd , Chicago IL 60613-2935. She 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 / Neurology. Allopathic & Osteopathic Physicians / Neurology is her primary health care specialty. Logan, Wren Willow can be contacted via phone (773) 388-1600.

Contact Information

Primary practice address
3948 N Sheridan Rd Chicago IL 60613-2935
Phone: (773) 388-1600
Fax: (773) 388-8936
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 036.160349 Illinois

Profile Details

NPI number 1982139705
LBN Legal business name Logan, Wren Willow
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2017
Last updated Jul 5th, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1982139705 NPPES
Illinois MEDICAID 036.160349

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