Stacey B Logal, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

147-000712 Issued in IL

Practice address

2300 Lehigh Ave
Suite 140
Glenview, IL 60026-1691

Phone

(847) 729-1701

NPI assigned

Apr 16, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BBBACA

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.

• Accelerated Rehabilitation Centers, LTD

  • Physical Therapist
  • Roscoe, IL
  • NPI 1043604184
  NPD (past)
• Advanced Hearing and Balance Center, LLC

  • Audiologist
  • Evanston, IL
  • NPI 1669607214
  NPD (past)
• Hearing Health Center, Inc.

  • Audiologist
  • Chicago, IL
  • NPI 1972583359
  NPD (past)
• Medical Arts Unlimited Inc

  • Otolaryngology Physician
  • Libertyville, IL
  • NPI 1285609990
  NPD (past)

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318377600000",
    "number": "1144494691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 W HIGGINS RD",
            "address_2": "SUITE 895",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601692071",
            "telephone_number": "847-843-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 LEHIGH AVE",
            "address_2": "SUITE 140",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600261691",
            "telephone_number": "847-729-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAL",
        "first_name": "STACEY",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-16",
        "last_updated": "2011-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147-000712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Dana Livingston, LCSW
• Charity Angelique Lober, OTR/L
• Laura Teresa Lockwood, COTA/L
• Susan Lofton, MPT
• Tia J Loftus, APRN, FNP-BC
• Joyce L Logan, L.C.P.C.
• Amanda Eileen Long, MS, OTR/L
• Kimberly Long
• Samantha Long, APN-CNP
• Viviana Lopez, OTR/L

• Audiologist in Glenview, IL
• Providers in Glenview, IL by specialty
• Audiologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; 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.