Individual
MS. SUSAN LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
900 W TEMPLE AVE, SUITE 101, EFFINGHAM, IL 62401-2186
(217) 347-2500
(217) 342-9775
Mailing address
900 W TEMPLE AVE, SUITE 101, EFFINGHAM, IL 62401-2186
(217) 347-2500
(217) 342-9775
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
—
IL
Other
Enumeration date
06/14/2007
Last updated
03/11/2008
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