person
Richard Henry Logan, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Burbank, Illinois
NPI 1043085871

Richard Henry Logan is a Psychiatric/Mental Health Nurse Practitioner based in Burbank, IL and is specialized in Psychiatric/Mental Health. Richard Henry Logan practices in Burbank, IL and has the professional credentials of PMHNP-BC. The NPI Number for Richard Henry Logan is 1043085871 and holds a License No. 209.028575 (Illinois).

The current practice location address for Richard Henry Logan is 8649 New England Ave, Burbank, IL and can be reached out via phone at 708-548-8308.

Location: 8649 New England Ave, Burbank, IL, 60459-2216
person
Provider Profile Details
NPI Number
1043085871
Provider Name
Richard Henry Logan
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Male
Address
8649 New England Ave, Burbank, IL, 60459-2216
Phone Number
708-548-8308
Fax Number
Provider Enumeration Date
11/21/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8649 New England Ave
City
State
Zip
60459-2216
Phone Number
708-548-8308
Fax Number
person
Provider Business Mailing Address Details
Address
8649 New England Ave
City
State
Zip
60459-2216
Phone Number
708-548-8308
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
209.028575 (Illinois)
Definition
Definition to come...
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