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

Logan Primary Care

Organization Physician Assistant · NPI 1194913541

Logan Primary Care is a Physician Assistant in Herrin, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007

Practice location Address checks out

405 Rushing Dr
Herrin, IL 62948-3730
Phone: (618) 993-3300
Fax: (618) 997-6626
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 85003043 (IL)

Record details

NPI number1194913541
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tara Deaton — Administrator · (618) 993-3300
NPI enumeratedOctober 11, 2007
Last updated in NPPESOctober 11, 2007
Mailing address405 Rushing Dr, Herrin, IL 62948-3730

Other providers in Herrin