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Logan Brown, ATC, LAT
NPI 1548728116 · on the registry since 2019 · sole proprietor
Practice
- Address
- 2430 W Warner Ave
Chicago, IL 60618 - Phone
- (502) 648-1164
Additional practice sites
- 508 Ponder Dr, Shelbyville, KY
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Also registered as
- 390200000X
- Licence states on file
- IL, KY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-07-26
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