Logan Authorization

Primary specialty

ContractorTaxonomy code 171W00000X

Legal business name

LOGAN AUTHORIZATION

Practice address

3510 S Rhodes Ave Apt 1605
Chicago, IL 60653-1368

Phone

(312) 287-3601

NPI assigned

May 18, 2021

Organization subpart

No

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

Authorized official

Name

Vanity Logan

Title

Ceo

Phone

(312) 287-3601

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621296000000",
    "number": "1801460308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 S RHODES AVE APT 1605",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606531368",
            "telephone_number": "312-287-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 S RHODES AVE APT 1605",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606531368",
            "telephone_number": "312-287-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOGAN AUTHORIZATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-18",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "VANITY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "312-287-3601"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "loganauthorization@gmail.com",
            "affiliation": "N",
            "address_1": "3510 S Rhodes Ave Apt 1605",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606531368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Saria Lofton, RN
• Ethan Loftspring, MD
• Kirsten Virginia Loftus, M.D.
• Mary Rose Loftus, DO
• Timothy Michael Loftus, M.D.
• Logan General Medical Center Inc
• Logan Square Acupuncture, LLC
• Logan Square Anesthesia PC
• Logan Square Counseling LLC
• Logan Square Dental Service Center

• Contractor in Chicago, IL
• Providers in Chicago, IL by specialty
• Contractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; 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.