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

Logan Renee Grubb, MD

Individual provider Family Medicine Physician · NPI 1558092924

Logan Renee Grubb, MD is a Family Practice in Springfield, Illinois. Qualified in 2022, 4 years ago. Practices with Memorial Physician Services, a 158-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
4
Licensed in
IL
In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3132 Old Jacksonville Rd Ste 200
Springfield, IL 62704-7401
Phone: (217) 862-0800
Fax: (217) 862-0871
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036173042 (IL)

Record details

NPI number1558092924
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 17, 2022
Last updated in NPPESJuly 1, 2025
Certification dateJuly 1, 2025
Mailing address3132 Old Jacksonville Rd Ste 200, Springfield, IL 62704-7401

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Memorial Physician Services — 158 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Springfield