Alexis Logan
Alexis Logan is a Physician Assistant in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2018.
- Licensed in
- IL
- In the registry since
- 2018
Practice location Address checks out
221 NE Glen Oak AvePeoria, IL 61636-0001
Phone: (309) 671-8297
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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 085006727 (IL) |
|---|
Record details
| NPI number | 1295218378 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 13, 2018 |
| Last updated in NPPES | September 13, 2018 |
| Mailing address | 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 |
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