Dr. Wren Willow Logan, M.D.
Psychiatry & Neurology, Neurology in Chicago, IL. Individual provider (NPI-1).
NPI number1982139705
StatusActive
Last updated in NPPESJul 5, 2022
Details
- NPI
- 1982139705
- Entity type
- Individual (NPI-1)
- Name
- Dr. Wren Willow Logan
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 30, 2017
- Certification date
- Jul 5, 2022
- Last updated
- Jul 5, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | 036.160349 | IL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
3948 N Sheridan RdChicago, IL 60613-2935
Phone 773-388-1600 · Fax 773-388-8936
Mailing address
3948 N Sheridan RdChicago, IL 60613-2935
Phone 773-388-1600 · Fax 773-388-8936
Other practice locations
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