Julie L. Logan D.C, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038.012494 Issued in IL

Legal business name

JULIE L. LOGAN D.C, P.C.

Practice address

416 E Roosevelt Rd
Suite 107
Wheaton, IL 60187-5589

Phone

(630) 682-5090

Fax

(630) 260-1230

NPI assigned

Oct 10, 2013

Last updated

Oct 10, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Julie Lynn Logan, D.C.NPI 1639506355

Title

Sole Proprietor

Phone

(630) 327-0471

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Julie Lynn Logan, D.C.

  • Chiropractor
  • Pearcy, AR
  • NPI 1639506355
  Authorized official Same address or phone

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

{
    "created_epoch": "1381363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381363200000",
    "number": "1306273180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "0N480 WILLOW RD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601872934",
            "telephone_number": "630-327-0471",
            "fax_number": "630-260-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 E ROOSEVELT RD",
            "address_2": "SUITE 107",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875589",
            "telephone_number": "630-682-5090",
            "fax_number": "630-260-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIE L. LOGAN D.C, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-10",
        "last_updated": "2013-10-10",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "630-327-0471",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.012494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Jouza
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• Danielle Lea Joynes, LCPC
• Dorota Jozwiak, PHARMD
• Jane Jung, PSYD
• Alyssa Jurkus
• Just for Kids Pediatrics PC
• Muath Kabuka
• Tara A Kacmarcik, PSY.D.

• Chiropractor in Wheaton, IL
• Providers in Wheaton, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2013; 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.