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Individual

DR. STACEY B LOGAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AU.D.

Contact information

Practice address
2300 LEHIGH AVE, SUITE 140, GLENVIEW, IL 60026-1691
(847) 729-1701
Mailing address
2800 W HIGGINS RD, SUITE 895, HOFFMAN ESTATES, IL 60169-2071
(847) 843-1900

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147-000712
IL

Other

Enumeration date
04/16/2008
Last updated
10/12/2011
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