530 Winnetka Property, LLC

NPI #1760695381 in Winnetka, Illinois

Provider Information

NPI Number: 1760695381
Entity Type: Organization
Organization Name: 530 Winnetka Property, LLC
Primary Specialty: Internal Medicine
Enumeration Date: May 8, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 530 WINNETKA AVE
City: Winnetka
State: Illinois
ZIP Code: 60093-4023
Phone: (847) 441-6869

Authorized Official

Name: DR. PATRICK W. LOGAN, MD
Title: PHYSICIAN
Phone: (847) 441-6869

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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