Individual
MS. AILEY LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
502 WEIDNER RD, BUFFALO GROVE, IL 60089-3233
(224) 723-3231
Mailing address
502 WEIDNER RD, BUFFALO GROVE, IL 60089-3233
(224) 723-3231
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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