person
Wanda Cook Logan, RT,RDMS
Diagnostic Ultrasound Physician in Richton Park, Illinois
NPI 1548916000

Wanda Cook Logan is a Diagnostic Ultrasound Physician based in Lynwood, IL and is specialized in Diagnostic Ultrasound. Wanda Cook Logan practices in Richton Park, IL and has the professional credentials of RT,RDMS. The NPI Number for Wanda Cook Logan is 1548916000 and holds a License No. 156765 (Illinois).

The current practice location address for Wanda Cook Logan is 5111 Saulk Trail, Richton Park, IL and can be reached out via phone at 219-836-4702 and via fax at 219-841-7004.

Location: 5111 Saulk Trail, Richton Park, IL, 60411-6333
person
Provider Profile Details
NPI Number
1548916000
Provider Name
Wanda Cook Logan
Credential
RT,RDMS
Provider Entity Type
Individual
Gender
Female
Address
5111 Saulk Trail, Richton Park, IL, 60411-6333
Phone Number
219-836-4702
Fax Number
219-841-7004
Provider Enumeration Date
02/23/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5111 Saulk Trail
City
State
Zip
60471
Phone Number
219-836-4702
Fax Number
219-841-7004
person
Provider Business Mailing Address Details
Address
5111 Saulk Trail
City
State
Zip
60471
Phone Number
219-836-4702
Fax Number
219-841-7004
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Ultrasound
Taxonomy
License No.
156765 (Illinois)
Definition
A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.
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