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

Logan Primary Care

Organization Medical Physician Assistant · NPI 1992951123

Logan Primary Care is a Medical Physician Assistant in Herrin, Illinois. Licensed in Illinois. Registered with an NPI since 2008.

Licensed in
IL
In the registry since
2008
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Practice location Address checks out

405 Rushing Dr
Herrin, IL 62948-3730
Phone: (618) 993-3300
Fax: (618) 993-0262
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 085-003043 (IL)

Record details

NPI number1992951123
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Micah Oakley — Physician Assistant · (618) 993-3300
NPI enumeratedAugust 7, 2008
Last updated in NPPESAugust 7, 2008
Mailing address405 Rushing Dr, Herrin, IL 62948-3730

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