Individual
SYLVIA WHITAKER LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 WILLOW ST, FRANKFORT, IL 60423-1140
(815) 806-4690
Mailing address
615 BISMARK RD, JAYESS, MS 39641-3747
(601) 320-5386
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.300955
IL
Other
Enumeration date
03/15/2023
Last updated
03/15/2023
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