Dr Michael Logan, MD | |
4440 W 95th St, Oak Lawn, IL 60453-2600 | |
(708) 684-5341 | |
Not Available |
Full Name | Dr Michael Logan |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 8 Years |
Location | 4440 W 95th St, Oak Lawn, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083065262 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 125.069477 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Advocate Good Samaritan Hospital | Downers grove, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dupage Emergency Physicians Ltd | 6507854288 | 22 |
Dupage Emergency Physicians Convenient Care Llc | 6608840046 | 21 |
Entity Name | Dupage Emergency Physicians Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255323481 PECOS PAC ID: 6507854288 Enrollment ID: O20040503000606 |
Entity Name | Dupage Emergency Physicians Convenient Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922000363 PECOS PAC ID: 6608840046 Enrollment ID: O20040823000566 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael Logan, MD 221 E Cullerton St, Apt 417, Chicago, IL 60616-1386 Ph: () - | Dr Michael Logan, MD 4440 W 95th St, Oak Lawn, IL 60453-2600 Ph: (708) 684-5341 |
Michael Cirone, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-5375 Fax: 708-684-1028 | |
Peter Peraud, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-4077 | |
Dr. Thomas Kevin Seagraves, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-283-5500 | |
Dr. Timothy Koplik Henderson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-5375 | |
Elizabeth Kunjummen, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-283-5500 | |
Ms. Meghan Maureen Hurley, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-5354 | |
Nicolas Kettaneh, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-5354 Fax: 708-684-1028 |