Individual provider · Type 1 NPI

Logan Van Poucke

Student in an Organized Health Care Education/Training Program · Chicago, IL

NPI number 1093660599 Active

Practice location

1853 W Polk St
Chicago, IL 60612-4355

Call (630) 201-0378 Map

Mailing address

1257 Jane Ave
Naperville, IL 60540-5644

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1093660599

Logan Van Poucke's National Provider Identifier is 1093660599, issued on Feb 28, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Chicago, IL. The record was last updated on Feb 28, 2026.