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

Logan Primary Care Service Corporation

Organization Family Medicine Physician · NPI 1821105974

Logan Primary Care Service Corporation is a Family Medicine Physician in Herrin, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006

Practice location Address checks out

405 Rushing Dr
Herrin, IL 62948
Phone: (618) 993-3300
Fax: (618) 997-6626
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036099669 (IL)

Record details

NPI number1821105974
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tara Deaton — Administrator · (618) 993-3300
NPI enumeratedAugust 24, 2006
Last updated in NPPESNovember 29, 2007
Mailing address405 Rushing Drive, Herrin, IL 62948

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