Individual
DR. LOGAN K CHASTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 E CARPENTER ST, SPRINGFIELD, IL 62769-5000
(217) 544-6464
Mailing address
111 OAKWOOD RD, EAST PEORIA, IL 61611-1853
(309) 740-4272
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036-155212
IL
2085R0202X
Diagnostic Radiology Physician
4301501783
MI
Other
Enumeration date
06/23/2015
Last updated
10/23/2023
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