Logan Primary Care Service Corporation is a Family Medicine Physician based in Herrin, IL. Logan Primary Care Service Corporation practices in Herrin, IL. The NPI Number for Logan Primary Care Service Corporation is 1821105974 and holds a License No. 036099669 (Illinois).
The current practice location address for Logan Primary Care Service Corporation is 405 Rushing Drive, Herrin, IL and can be reached out via phone at 618-993-3300 and via fax at 618-997-6626.
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14D0666068 | 01 | CLIA | |
| 143870 | 05 | IL | |
| 14D0436594 | 01 | CLIA | |
| 14D0963522 | 01 | CLIA | |
| 10019630 | 01 | IL | BLUE CROSS BLUE SHIELD |
| 14D1041426 | 01 | CLIA |
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