Patrick W. Logan, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036056309 Issued in IL

Practice address

530 Winnetka Ave
Winnetka, IL 60093-4023

Phone

(847) 441-6869

Fax

(847) 441-6895

NPI assigned

Aug 31, 2006

Last updated

May 7, 2008By the provider in NPPES

Sex

Male

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

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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

• 530 Winnetka Property, LLC

  • Internal Medicine Physician
  • Winnetka, IL
  • NPI 1760695381
  Authorized official Same address or phone
• Patrick W. Logan, MD

  • Internal Medicine Physician
  • Winnetka, IL
  • NPI 1932371119
  NPD (past) Authorized official
• Carole P Prete MD PLLC

  dba Carole P Prete MD

  • Internal Medicine Physician
  • Winnetka, IL
  • NPI 1851002604
  NPD
• Claire Kenneally, LTD

  • Internal Medicine Physician
  • Winnetka, IL
  • NPI 1720272685
  NPD
• David R Donnersberger MD SC

  • Internal Medicine Physician
  • Winnetka, IL
  • NPI 1558553057
  NPD
• Eleanor Smith MD

  • Internal Medicine Physician
  • Winnetka, IL
  • NPI 1285314641
  NPD

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210118400000",
    "number": "1790896066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 WINNETKA AVE",
            "city": "WINNETKA",
            "state": "IL",
            "postal_code": "600934023",
            "telephone_number": "847-441-6888",
            "fax_number": "847-441-6895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 WINNETKA AVE",
            "city": "WINNETKA",
            "state": "IL",
            "postal_code": "600934023",
            "telephone_number": "847-441-6869",
            "fax_number": "847-441-6895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "PATRICK",
        "middle_name": "W.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036056309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thanh Thien Ha Lan, M.D.
• Susan S. Langan
• Margaret Buckner Lawson, D.P.M.
• Leah Wolff Pscychotherapy Inc
• Joshua David Levin, MD
• John G Louis, LMT
• Lu Plastic Surgery SC
• Kelly Lukanich, CCC-SLP
• Mark I Lundell, DDS
• Robert M Magrisso, MD

• Internal Medicine Physician in Winnetka, IL
• Providers in Winnetka, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.