SearchIllinoisStudent in an Organized Health Care Education/Training Program

Logan Van Poucke

NPI 1093660599 · on the registry since 2026

Practice

Address
1853 W Polk St
Chicago, IL 60612
Phone
(630) 201-0378
Clinicians at this address
51

Registry record

Primary taxonomy
Student in an Organized Health Care Education/Training Program
390200000X
Sex
Male
Record last updated
2026-02-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois