Individual provider Active NPI

Albertina Darice Logan, D.C.

  • Chiropractor
  • Oakbrook Terrace, IL
National Provider Identifier
1114940889
Registry record updated Sep 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-010645 Issued in IL
Practice address
1S132 Summit Ave
301
Oakbrook Terrace, IL 60181-3955
Phone
(630) 705-1475
Fax
(630) 705-1556
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-010645 IL Primary

Addresses

Primary practice location

1S132 Summit Ave
301
Oakbrook Terrace, IL 60181-3955

Mailing address

1S132 Summit Ave
307
Oakbrook Terrace, IL 60181-3955
Phone (630) 705-1475

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-010645ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Naperville Rehab and Medical Clinic PC CurrentSince Apr 12, 2023 Accepting new patients
Russell Chiropractic Care, SC Past Accepting new patients
First Health Assocates, SC Chiropractor PastSince Nov 13, 2000 Accepting new patients

Locations

1750 N Washington St
Ste 112C
Naperville, IL 60563
Phone (630) 946-6155

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348185600000",
    "number": "1114940889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1S132 SUMMIT AVE",
            "address_2": "307",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601813955",
            "telephone_number": "630-705-1475",
            "fax_number": "630-705-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1S132 SUMMIT AVE",
            "address_2": "301",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601813955",
            "telephone_number": "630-705-1475",
            "fax_number": "630-705-1556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "ALBERTINA",
        "middle_name": "DARICE",
        "name_prefix": "Ms.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2012-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-010645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakbrook Terrace, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.