| Lana Logan Lcpc | |
|
13161 W 143rd St Homer Glen IL 60491-6890 | |
| (708) 514-9422 | |
| (815) 230-1380 |
| Full Name | Lana Logan Lcpc |
|---|---|
| Speciality | Counselor |
| Location | 13161 W 143rd St, Homer Glen, Illinois |
| Authorized Official Name and Position | Lana Yael Logan (PARTNER) |
| Authorized Official Contact | 7085149422 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lana Logan Lcpc 13161 W 143rd St Homer Glen IL 60491-6890 Ph: (708) 514-9422 | Lana Logan Lcpc 13161 W 143rd St Homer Glen IL 60491-6890 Ph: (708) 514-9422 |
| NPI Number | 1275049454 |
|---|---|
| Provider Enumeration Date | 12/24/2017 |
| Last Update Date | 12/24/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275049454 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 180007562 (Illinois) | Primary |
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