Logan Rattana

NPI #1942176086 in Elmhurst, Illinois

Provider Information

NPI Number: 1942176086
Entity Type: Individual
Name: Logan Rattana
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Oct 15, 2025
Last Updated: Oct 15, 2025

Practice Location

Address: 474 W COMMONWEALTH LN
City: Elmhurst
State: Illinois
ZIP Code: 60126-4954
Phone: (630) 441-7103

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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