Individual
MRS. DEWONNA LASHAWN LOGAN-CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7900 N MILWAUKEE AVE STE 12, NILES, IL 60714-3169
(847) 505-5147
Mailing address
848 DODGE AVE STE 369, EVANSTON, IL 60202-1506
(662) 753-9211
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
IL
Other
Enumeration date
09/01/2021
Last updated
12/30/2022
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