Julie L. Logan D.C, P.C.
Organization Active NPI Chiropractor · Wheaton, IL
NPI 1306273180 · NPPES record last updated Oct 10, 2013
Key facts
- NPI
- 1306273180
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 038.012494 (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
- Organization subpart
- No
Authorized official
- Name
- Dr. Julie Lynn Logan, D.C.
- Title
- Sole Proprietor
- Phone
- (630) 327-0471
National Provider Directory
Locations
416 E Roosevelt Rd
Ste 107
Wheaton, IL 60187
Phone (630) 260-1300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 038.012494 | IL | Yes |
Addresses
Primary practice location
416 E Roosevelt Rd
Suite 107
Wheaton, IL 60187-5589
Mailing address
0N480 Willow Rd
Wheaton, IL 60187-2934
Phone (630) 327-0471
Other providers in Wheaton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.