Logue, Edward
Logue, Edward is an individual health care provider with primary practice located at 350 S Greenleaf St Suite 405, Gurnee IL 60031-5709. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Logue, Edward can be contacted via phone (847) 336-3335.Contact Information
Primary practice address
350 S Greenleaf St Suite 405
Gurnee IL 60031-5709
Phone: (847) 336-3335
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 036-087051 | Illinois |
Profile Details
| NPI number | 1396797270 |
|---|---|
| LBN Legal business name | Logue, Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Aug 28th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396797270 | NPPES |
| Illinois | MEDICAID | 036-087051 |
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