Logan Primary Care
Logan Primary Care provides Primary Care Nurse Practitioner 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) 932-3797
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
| Primary Care Nurse Practitioner (primary) | Taxonomy 363LP2300X (IL) |
|---|
Record details
| NPI number | 1902094352 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tara Deaton — Administrator · (618) 997-3400 |
| NPI enumerated | October 11, 2007 |
| Last updated in NPPES | October 11, 2007 |
| Mailing address | 502 E Saint Louis St, West Frankfort, IL 62896-1346 |