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Individual

JOY GEORGIANA LOGOTHETIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MMS, PA-C

Contact information

Practice address
676 N SAINT CLAIR ST STE 1600, CHICAGO, IL 60611-2997
(312) 695-8106
(312) 695-0537
Mailing address
676 N SAINT CLAIR ST STE 1600, CHICAGO, IL 60611-2997
(312) 695-8106
(312) 695-0537

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085004412
IL

Other

Enumeration date
12/11/2012
Last updated
03/06/2023
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