Wanda Cook Logan, RT, RDMS
Wanda Cook Logan, RT, RDMS is a Diagnostic Ultrasound Physician in Richton Park, Illinois. Licensed in Illinois. Registered with an NPI since 2022.
- Licensed in
- IL
- In the registry since
- 2022
Practice location Address checks out
5111 Saulk TrlRichton Park, IL 60471
Phone: (219) 836-4702
Fax: (219) 841-7004
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Specialties & licences
| Diagnostic Ultrasound Physician (primary) | Taxonomy 2085U0001X · Licence 156765 (IL) |
|---|
Record details
| NPI number | 1548916000 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | RT , RDMS |
| Sole proprietor | No |
| NPI enumerated | February 23, 2022 |
| Last updated in NPPES | February 23, 2022 |
| Certification date | February 10, 2022 |
| Mailing address | 19753 Oakwood Ave, Lynwood, IL 60411-6333 |