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

Logan Klockner

Individual provider Nurse Practitioner · NPI 1437743432

Logan Klockner is a Nurse Practitioner in Rockford, Illinois. Licensed in Illinois. Registered with an NPI since 2021.

Licensed in
IL
In the registry since
2021
Specialties on file
2

Practice location Address checks out

8201 E Riverside Blvd
Rockford, IL 61114-2300
Phone: (815) 971-7000
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209022924 (IL)
Registered Nurse Taxonomy 163W00000X · Licence 041366252 (IL)

Record details

NPI number1437743432
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 22, 2021
Last updated in NPPESFebruary 26, 2021
Certification dateFebruary 26, 2021
Mailing address2400 N Rockton Ave, Rockford, IL 61103-3655

Other providers in Rockford