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Search › Illinois › 363A00000X

Alexis Logan

NPI 1295218378 · on the registry since 2018

Practice

Address
221 Ne Glen Oak Ave
Peoria, IL 61636
Phone
(309) 671-8297
Organisation at this address
Methodist
Walgreen Co
Epss, Llc- Metro Series
Heartland Home Health Care
Peoria Area Women'S Hospitalist
Inferred from a shared address, not stated in the registry.
Clinicians at this address
175

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-09-13

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