Logan Primary Care
Logan Primary Care provides Physician Assistant services 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 DrHerrin, IL 62948-3730 Not confirmed with CMS for 19 years — call before visiting
Phone: (618) 993-3300
Fax: (618) 997-6626
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
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 number | 1194913541 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tara Deaton — Administrator · (618) 993-3300 |
| NPI enumerated | October 11, 2007 |
| Last updated in NPPES | October 11, 2007 |
| Mailing address | 405 Rushing Dr, Herrin, IL 62948-3730 |
Other providers in Herrin
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Mr. Zachary R Gustavison, PA-C
201 S 14th St, Herrin, IL 62948-3631 · (618) 942-2171
-
Mrs. Kelly Jackson Johnson, PA-C
510 Lincoln Dr, Herrin, IL 62948-6334 · (618) 997-6800
-
Debra J Kester, PA-C
315 S 13th St Ste 2, Herrin, IL 62948-3666 · (618) 942-5883
-
Marcia Nicole Kuhlman, PASTUDENT
201 S 14th St, Herrin, IL 62948-3631 · (618) 942-2171
-
Gretchen B Mason, PA-C
510 Lincoln Dr, Herrin, IL 62948-6334 · (618) 997-6800
-
Gillian McVicar, PA-C
405 Rushing Dr, Herrin, IL 62948-3730 · (618) 993-3300
-
Mr. John W Nugent, PAC
510 Lincoln Drive Southern Orthopedic Associates Sc, Herrin, IL 62948 · (618) 997-6800
-
Micah Oakley, PA-C
405 Rushing Dr, Herrin, IL 62948-3730 · (618) 993-3300