CHARLES LOGAN (NPI# 1760986194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760986194 |
| Entity Type | Individual |
| Full Name | CHARLES LOGAN |
| Credential | MD |
| Practice Address |
251 East Huron Street Chicago IL 60611 |
| Practice Telephone | 3122274000 |
| Mailing Telephone | 3122274000 |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2018-03-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1475 E Belvidere Road, Grayslake, IL 60030 | 8475357157 | |
| 225 East Chicago Avenue, Chicago, IL 60611 | 3122274000 | |
| 2750 West North Avenue, Chicago, IL 60647 | 3126663494 | |
| 355 East Erie Street, Chicago, IL 60611 | 3122381000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518502822 | Charles Augustus Logan Jr. | Community Health Worker | 625 Piney Forest Rd Ste 307b, Danville, VA 24540-2869 | 2019-11-11 |
| 1386865483 | Charles Mark Logan | Chiropractor | 1064 E Jackson Street, Medford, OR 97504 | 2007-05-02 |
| 1609416148 | Charles Alexander Logan | Nurse Practitioner | 2004 Hayes St, Nashville, TN 37203-2646 | 2020-01-13 |
| Street Address |
251 EAST HURON STREET |
| City | CHICAGO |
| State | IL |
| Zip Code | 60611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639155328 | Michael Robert Pins | Specialist | 251 East Huron Street, Northwestern Memorial Hospital - Feinberg 7-325, Chicago, IL 60611 | 2005-12-15 |
| 1104448398 | Brian Kenneth Vadasz | Student in an Organized Health Care Education/Training Program | 251 East Huron Street, Chicago, IL 60611 | 2020-05-11 |
| 1730716028 | Priya Muktesh Mehta | Internal Medicine | 251 East Huron Street, Chicago, IL 60611 | 2020-03-25 |
| 1619503604 | Joshua Caleb Prenner | Dermatology | 251 East Huron Street, Chicago, IL 60611 | 2020-03-21 |
| 1700445046 | Kamal Subedi | Radiology | 251 East Huron Street, Chicago, IL 60611 | 2019-06-11 |
| 1700348851 | Daniel Lawrence Underberg | Internal Medicine | 251 East Huron Street, Chicago, IL 60611 | 2019-04-05 |
| 1194298810 | Benjamin Skrap | Student in an Organized Health Care Education/Training Program | 251 East Huron Street, Northwestern Memorial Hospital, Chicago, IL 60611 | 2019-01-04 |
| 1346747185 | Ujash Sheth | Student in an Organized Health Care Education/Training Program | 251 East Huron Street, Northwestern Memorial Hospital, Chicago, IL 60611 | 2018-04-09 |
| 1750885067 | Kristen Jean Carroll | Internal Medicine | 251 East Huron Street, Chicago, IL 60611 | 2018-03-21 |
| 1932603461 | Luis Guillermo Fernandez IIi | Neurological Surgery | 251 East Huron Street, Chicago, IL 60611 | 2018-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092835 | Lauren Less | Social Worker | 111 East Pearson St, Chicago, IL 60611 | 2020-10-29 |
| 1134735962 | Kalvin Cheuk Hang Lung | Student in an Organized Health Care Education/Training Program | 675 N St Clair St 17th Floor, Chicago, IL 60611 | 2020-09-17 |
| 1487267845 | Ashley Marie Sablich | Student in an Organized Health Care Education/Training Program | 250 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2020-08-26 |
| 1245854033 | Danielle Humphrey | Student in an Organized Health Care Education/Training Program | Pa Program, Suite 1-200, 240 East Huron Street, Chicago, IL 60611 | 2020-06-08 |
| 1801418074 | Sana Healing Collective | Clinic/Center | 405 N. Wabash Street, Chicago, IL 60611 | 2020-05-11 |
| 1194359489 | Insight:eating Disorders, Weight Management & Psychological Centers | Psychiatric Hospital | 1 E. Erie Street, 4th Floor, Chicago, IL 60611 | 2020-02-26 |
| 1902439193 | Iwona Boska | Nurse Practitioner | 676 N St.clair Street, Suite 2140, Chicago, IL 60611 | 2020-02-17 |
| 1922643576 | Sarah Elizabeth Schwartzer | Audiologist | Chicago Dizziness and Hearing, 645 North Michigan Avenue, Suite 410, Chicago, IL 60611 | 2019-11-07 |
| 1023668852 | Anne Marguerite Davidson | Student in an Organized Health Care Education/Training Program | Mcgraw Medical Center, 240 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2019-09-13 |
| 1871141085 | Coast Management | Durable Medical Equipment & Medical Supplies | 40 E. Chicago Ave, Suite 149, Chicago, IL 60611 | 2019-08-30 |
| Find all providers in zip 60611 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205443975 | Nickolas Armstrong | Student in an Organized Health Care Education/Training Program | 2828 N Pine Grove Ave Apt 618, Chicago, IL 60657-6137 | 2020-09-28 |
| 1134735962 | Kalvin Cheuk Hang Lung | Student in an Organized Health Care Education/Training Program | 675 N St Clair St 17th Floor, Chicago, IL 60611 | 2020-09-17 |
| 1487267845 | Ashley Marie Sablich | Student in an Organized Health Care Education/Training Program | 250 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2020-08-26 |
| 1275146599 | Ryan Mather | Student in an Organized Health Care Education/Training Program | 155 N Michigan Ave Ste 566, Chicago, IL 60601-7799 | 2020-08-26 |
| 1831701010 | Alexandra Klonis | Student in an Organized Health Care Education/Training Program | 676 N Saint Clair St Ste 6-108, Chicago, IL 60611-2927 | 2020-08-19 |
| 1851903389 | Brittney Christine Evans | Student in an Organized Health Care Education/Training Program | 1901 N Clybourn Ave Ste 302&304, Chicago, IL 60614-5090 | 2020-08-17 |
| 1205446358 | Kai Lai Chu | Student in an Organized Health Care Education/Training Program | 600 N Fairbanks Ct Unit 3505, Chicago, IL 60611-5869 | 2020-08-04 |
| 1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
| 1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
| 1407474463 | Madison Nicole Schulenberg | Student in an Organized Health Care Education/Training Program | 1111 W 14th Pl Unit 119, Chicago, IL 60608-2796 | 2020-07-07 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.