Individual
DR. WREN WILLOW LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3948 N SHERIDAN RD, CHICAGO, IL 60613-2935
(773) 388-1600
(773) 388-8936
Mailing address
3948 N SHERIDAN RD, CHICAGO, IL 60613-2935
(773) 388-1600
(773) 388-8936
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036.160349
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036.160349
—
IL
Enumeration date
04/30/2017
Last updated
07/05/2022
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