MRS. Dewonna Lashawn Logan-Carter

NPI #1659049930 in Niles, Illinois

Provider Information

NPI Number: 1659049930
Entity Type: Individual
Name: MRS. Dewonna Lashawn Logan-Carter
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician
Enumeration Date: Sep 1, 2021
Last Updated: Dec 30, 2022

Practice Location

Address: 7900 N MILWAUKEE AVE STE 12
City: Niles
State: Illinois
ZIP Code: 60714-3169
Phone: (847) 505-5147

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician	374700000X	Primary

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