SearchIllinois332B00000X

Carol Logan

NPI 1417318197 · on the registry since 2016 · sole proprietor

Practice

Address
603 W Delmar Ave
Alton, IL 62002
Phone
(618) 467-0640

Registry record

Primary taxonomy
332B00000X
332B00000X
Sex
Female
Record last updated
2016-03-09

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