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Logan Primary Care
Physician Assistant in Herrin, Illinois
NPI 1194913541

Logan Primary Care is a Physician Assistant based in Herrin, IL. Logan Primary Care practices in Herrin, IL. The NPI Number for Logan Primary Care is 1194913541 and holds a License No. 85003043 (Illinois).

The current practice location address for Logan Primary Care is 405 Rushing Dr, Herrin, IL and can be reached out via phone at 618-993-3300 and via fax at 618-997-6626.

Location: 405 Rushing Dr, Herrin, IL, 62948-3730
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1194913541
Provider Name
Logan Primary Care
Credential
Provider Entity Type
Organization
Address
405 Rushing Dr, Herrin, IL, 62948-3730
Phone Number
618-993-3300
Fax Number
618-997-6626
Provider Enumeration Date
10/11/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00166778 01 IL RAILROAD MEDICARE
094621 01 IL HEALTH ALLIANCE
143870 05 IL
10019630 01 IL BLUE CROSS BLUE SHIELD
657869 01 IL HEALTHLINK
institution
Provider Business Practice Location Address Details
Address
405 Rushing Dr
City
Herrin
State
Illinois
Zip
62948-3730
Phone Number
618-993-3300
Fax Number
618-997-6626
person
Provider Business Mailing Address Details
Address
405 Rushing Dr
City
Herrin
State
Illinois
Zip
62948-3730
Phone Number
618-993-3300
Fax Number
618-997-6626
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
85003043 (Illinois)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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