Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Logan Multispecialty Clinic S C

Organization Internal Medicine Physician · NPI 1770015836

Logan Multispecialty Clinic S C is an Internal Medicine Physician in Burr Ridge, Illinois. Licensed in Illinois. Registered with an NPI since 2017.

Licensed in
IL
In the registry since
2017

Practice location Address checks out

15W560 91st St
Burr Ridge, IL 60527-6365
Phone: (630) 532-2021
Fax: (630) 655-1815
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 036085934 (IL)

Record details

NPI number1770015836
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Facundo Dovale — Director · (630) 532-2021
NPI enumeratedMarch 29, 2017
Last updated in NPPESMarch 21, 2018
Mailing address15w560 91st St, Burr Ridge, IL 60527-6365

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