Logsdon, Mallory M.

Logsdon, Mallory M. is an sole proprietor health care provider with primary practice located at 801 S Milwaukee Ave , Libertyville IL 60048-3204. 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 / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Logsdon, Mallory M. can be contacted via phone (847) 990-5450.

Contact Information

Primary practice address
801 S Milwaukee Ave Libertyville IL 60048-3204
Phone: (847) 990-5450
Fax: (847) 573-4287
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 / Pediatrics 208000000X 036.135544 Illinois

Profile Details

NPI number 1831480896
LBN Legal business name Logsdon, Mallory M.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 26th, 2011
Last updated Jun 3rd, 2022 - 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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