Wanda Cook Logan, RT,R DMS - Radiology in Richton Park, IL

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Wanda Cook Logan, RT,R DMS is a Radiology - Diagnostic Ultrasound physician based in Richton Park, Illinois. Wanda Cook Logan is licensed to practice in Illinois (license number 156765) and her current practice location is 5111 Saulk Trail, Richton Park, Illinois. She can be reached at her office (for appointments etc.) via phone at (219) 836-4702.

NPI number for Wanda Cook Logan is 1548916000 and her current mailing address is 19753 Oakwood Ave, Lynwood, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1548916000.

Contact Information

Wanda Cook Logan, RT,R DMS
5111 Saulk Trail,
Richton Park, IL 60471
(219) 836-4702
(219) 841-7004

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Physician's Profile

Full NameWanda Cook Logan
GenderFemale
SpecialityRadiology - Diagnostic Ultrasound
Location5111 Saulk Trail, Richton Park, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1548916000
  • Provider Enumeration Date: 02/23/2022
  • Last Update Date: 02/23/2022

Medical Identifiers

Medical identifiers for Wanda Cook Logan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548916000NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085U0001XRadiology - Diagnostic Ultrasound 156765 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Wanda Cook Logan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Wanda Cook Logan, RT,R DMS
19753 Oakwood Ave,
Lynwood, IL 60411-6333

Ph: (708) 250-7108		Wanda Cook Logan, RT,R DMS
5111 Saulk Trail,
Richton Park, IL 60471

Ph: (219) 836-4702

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Radiology Doctors in Richton Park, IL


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