Individual
LOGAN RATTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
474 W COMMONWEALTH LN, ELMHURST, IL 60126-4954
(630) 441-7103
Mailing address
474 W COMMONWEALTH LN, ELMHURST, IL 60126-4954
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
PSI48267
FL
Other
Enumeration date
10/15/2025
Last updated
10/15/2025
About Stedi
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