Organization
LOGAN GENERAL MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSANGEL PEREZ (PRESIDENT)
(773) 384-2445
Entity
Organization
Contact information
Practice address
2734 N MILWAUKEE AVE, 150, CHICAGO, IL 60647-1362
(773) 384-2445
(773) 384-1155
Mailing address
2734 N MILWAUKEE AVE, 150, CHICAGO, IL 60647-1362
(773) 384-2445
(773) 384-1155
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1768840
IL
Other
Enumeration date
11/03/2006
Last updated
08/22/2020
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