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Logan Joseph Jackson, MD
Diagnostic Radiology Physician in Chicago, Illinois
NPI 1740817261

Logan Joseph Jackson is a Diagnostic Radiology Physician based in Chicago, IL and is specialized in Diagnostic Radiology. Logan Joseph Jackson practices in Chicago, IL and has the professional credentials of MD. The NPI Number for Logan Joseph Jackson is 1740817261 and holds a License No. LL84285 (Illinois).

The current practice location address for Logan Joseph Jackson is 251 E Huron St, Chicago, IL and can be reached out via phone at 312-695-4447.

Location: 251 E Huron St, Chicago, IL, 60611-3055
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740817261
Provider Name
Logan Joseph Jackson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
251 E Huron St, Chicago, IL, 60611-3055
Phone Number
312-695-4447
Fax Number
Provider Enumeration Date
03/25/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
251 E Huron St
City
Chicago
State
Illinois
Zip
60611-3055
Phone Number
312-695-4447
Fax Number
person
Provider Business Mailing Address Details
Address
251 E Huron St
City
Chicago
State
Illinois
Zip
60611-3055
Phone Number
312-695-4447
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
125077323 (Illinois)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
LL84285 (South Carolina)
Definition
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.
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