Individual
LOGAN MICHAEL BARKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2560 24TH ST STE 201, ROCK ISLAND, IL 61201-5390
(309) 779-3111
Mailing address
2650 WARRENVILLE RD STE 280, DOWNERS GROVE, IL 60515-2075
(630) 324-7934
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-10650
NC
363A00000X
Physician Assistant
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Other
Enumeration date
09/10/2020
Last updated
06/17/2025
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