Individual provider Active NPI

Joy Georgiana Logothetis, MMS, PA-C

  • Physician Assistant
  • Chicago, IL
National Provider Identifier
1932444312
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085004412 Issued in IL
Practice address
676 N Saint Clair St Ste 1600
Chicago, IL 60611-2997
Phone
(312) 695-8106
Fax
(312) 695-0537
NPI assigned
Dec 11, 2012
Last updated
Mar 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085004412 IL Primary

Addresses

Primary practice location

676 N Saint Clair St Ste 1600
Chicago, IL 60611-2997

Mailing address

676 N Saint Clair St Ste 1600
Chicago, IL 60611-2997
Phone (312) 695-8106

Other names 1

  • Joy Georgiana Economos Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Faculty Foundation CurrentSince Mar 6, 2023 Accepting new patients
University Thoracic Surgeons Physician Assistant Past Accepting new patients
Central Dupage Physician Group PastSince Mar 12, 2023 Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

676 N Saint Clair St
Ste 1600
Chicago, IL 60611
Phone (312) 695-8106

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1355184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1932444312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 N SAINT CLAIR ST STE 1600",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112997",
            "telephone_number": "312-695-8106",
            "fax_number": "312-695-0537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 N SAINT CLAIR ST STE 1600",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112997",
            "telephone_number": "312-695-8106",
            "fax_number": "312-695-0537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGOTHETIS",
        "first_name": "JOY",
        "middle_name": "GEORGIANA",
        "credential": "MMS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-11",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085004412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOY",
            "last_name": "ECONOMOS",
            "middle_name": "GEORGIANA",
            "credential": "MMS, PA-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.