Individual
DR. ANTHONY LEE LOGLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1550 N RANDALL RD, ELGIN, IL 60123-7876
(815) 398-9491
Mailing address
PO BOX 735263, CHICAGO, IL 60673-5263
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036163751
IL
207XS0106X
Orthopaedic Hand Surgery Physician
036163751
IL
Other
Enumeration date
06/15/2017
Last updated
06/15/2023
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