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

Logan Rattana

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1942176086

Logan Rattana is a Student in an Organized Health Care Education/Training Program in Elmhurst, Illinois. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2025

Practice location Address checks out

474 W Commonwealth Ln
Elmhurst, IL 60126-4954
Phone: (630) 441-7103
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence PSI48267 (FL)

Record details

NPI number1942176086
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 15, 2025
Last updated in NPPESOctober 15, 2025
Certification dateOctober 15, 2025
Mailing address474 W Commonwealth Ln, Elmhurst, IL 60126-4954

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