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LOGAN AUTHORIZATION

Contractor

NPI: 1801460308Organization

Specialties, Licenses & Credentials

ContractorPrimary

Contractor

Code: 171W00000X

Contact & Hours

Address
3510 S RHODES AVE APT 1605
CHICAGO, IL 60653

Quick Facts

NPI
1801460308
Entity Type
Organization
Medicare
Not confirmed
Specialties
1
Locations
1

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