# 530 WINNETKA PROPERTY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760695381
- **Authorized official:** DR. PATRICK W. LOGAN MD (PHYSICIAN)
- **Authorized official phone:** (847) 441-6869

## Contact information

- **Practice address:** 530 WINNETKA AVE, WINNETKA, IL 60093-4023
- **Practice address phone:** (847) 441-6869
- **Practice address fax:** (847) 441-6895
- **Mailing address:** 530 WINNETKA AVE, WINNETKA, IL 60093-4023
- **Mailing address phone:** (847) 441-6869
- **Mailing address fax:** (847) 441-6895

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/08/2007
- **Last updated:** 08/22/2020