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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1831480896

Dr. Mallory M. Logsdon, DO is a Student in an Organized Health Care Education/Training Program in Libertyville, Illinois. Practices as a sole proprietor and works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2011
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

801 S Milwaukee Ave
Libertyville, IL 60048-3204
Phone: (847) 990-5450
Fax: (847) 573-4287
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1425 N Randall Rd, Elgin, IL 60123-2300 — (224) 783-5437

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 036.135544 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1831480896
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 26, 2011
Last updated in NPPESMarch 6, 2025
Certification dateMarch 6, 2025
Mailing address29373 Network Pl, Chicago, IL 60673-1293

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