Individual
CHARLES LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
251 EAST HURON STREET, CHICAGO, IL 60611
(312) 227-4000
Mailing address
251 EAST HURON STREET, CHICAGO, IL 60611
(312) 227-4000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036155323
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2018
Last updated
01/17/2025
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