Individual provider · Type 1 NPI

Richard Henry Logan, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Oak Park, IL

NPI number 1043085871 Active

Practice location

1010 Lake St Ste 110
Oak Park, IL 60301-1106

Fax (877) 428-7891

Mailing address

8649 New England Ave
Burbank, IL 60459-2216

Other practice locations

  • 8649 New England Ave, Burbank, IL 60459-2216 · (708) 548-8308

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X209.028575 (IL)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1043085871

Richard Henry Logan, PMHNP-BC's National Provider Identifier is 1043085871, issued on Nov 21, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Oak Park, IL. The record was last updated on May 15, 2024.