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

Mr. Richard Lane Logan, RD

Individual provider Registered Dietitian · NPI 1063189132

Mr. Richard Lane Logan, RD is a Registered Dietitian in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2021.

Licensed in
IL
In the registry since
2021
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

2800 N Milwaukee Ave Apt 504
Chicago, IL 60618-7984
Phone: (317) 364-2202
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 164008466 (IL)

Record details

NPI number1063189132
Entity typeIndividual (Type 1)
GenderMale
Credentials RD
Sole proprietorNo
NPI enumeratedAugust 26, 2021
Last updated in NPPESMay 28, 2026
Certification dateMay 28, 2026

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