Logan Van Poucke
Logan Van Poucke is a Student in an Organized Health Care Education/Training Program in Chicago, Illinois. Registered with an NPI since 2026.
- In the registry since
- 2026
Practice location Address checks out
1853 W Polk StChicago, IL 60612-4355
Phone: (630) 201-0378
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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 |
|---|
Record details
| NPI number | 1093660599 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 28, 2026 |
| Last updated in NPPES | February 28, 2026 |
| Certification date | February 28, 2026 |
| Mailing address | 1257 Jane Ave, Naperville, IL 60540-5644 |
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