Patrick W. Logan, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PATRICK W. LOGAN, MD

Practice address

530 Winnetka Ave
Winnetka, IL 60093-4023

Phone

(847) 441-6869

Fax

(847) 441-6895

NPI assigned

Mar 28, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Patrick Wellington Logan, MDNPI 1790896066

Title

MD

Phone

(847) 441-6869

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.

• Patrick W. Logan, MD

  • Internal Medicine Physician
  • Winnetka, IL
  • NPI 1790896066
  NPD (past) Authorized official

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

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206662400000",
    "number": "1932371119",
    "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": "847-441-6869",
            "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": {
        "organization_name": "PATRICK W. LOGAN, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-28",
        "last_updated": "2008-03-28",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "WELLINGTON",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "847-441-6869",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Shore Physicians Group, LLC
• Eduard Obolsky, M.D.
• Robin Ann Ogden, RPH
• Dimple Patel, MPT
• Patrick Brady DMD Ms PC (Brady Orthodontics)
• Perspective Eyes LLC
• Leah Terese Pieczynski, PA-C
• Gioia Gabriella Pirrello, PSY.D.
• James Dean Pollock, M.D.
• Ronald Byron Port, M. D.

• 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 Mar 28, 2008; 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.