Mr. Logan Hayes Weatherford, NEURPHYSIOLOGIST
Mr. Logan Hayes Weatherford, NEURPHYSIOLOGIST is a Surgical Physician Assistant in Mokena, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2022
- Specialties on file
- 3
Practice location Address checks out
18761 Chestnut CtMokena, IL 60448-9501
Phone: (786) 448-9020
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Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X · Licence 238.010990 (IL) |
|---|---|
| Surgical Assistant | Taxonomy 246ZC0007X · Licence 238.010990 (IL) |
| Electroneurodiagnostic Specialist/Technologist | Taxonomy 246ZE0600X |
Record details
| NPI number | 1205548864 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | NEURPHYSIOLOGIST |
| Sole proprietor | Yes |
| NPI enumerated | December 14, 2022 |
| Last updated in NPPES | June 24, 2026 |
| Certification date | June 24, 2026 |
Other providers in Mokena
-
Surgikal Assistants, Inc
19015 S Jodi Rd Ste H, Mokena, IL 60448-8534 · (815) 768-9521
-
Sviatoslav Tsebryk, RSA
19015 S Jodi Rd Ste H, Mokena, IL 60448-8534 · (708) 995-5418
-
Alfredo Manuel Urquiola, SA-C
18761 Chestnut Ct, Mokena, IL 60448-9501 · (786) 448-9020
-
Oscar Alonso Virla, SA-C
18761 Chestnut Ct, Mokena, IL 60448-9501 · (786) 448-9020