Individual provider · Type 1 NPI

Samuel Logan, APN

Family Nurse Practitioner · Chicago, IL

NPI number 1386012482 Active

Practice location

3600 W Fullerton Ave
Chicago, IL 60647-2319

Fax (773) 782-5042

Other practice locations

  • 6416 W Belmont Ave, Chicago, IL 60634-3921 · (773) 782-2800

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X277000181 (IL)

Family Nurse Practitioner: Definition to come...

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About NPI 1386012482

Samuel Logan, APN's National Provider Identifier is 1386012482, issued on Sep 4, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Chicago, IL. The record was last updated on Sep 16, 2026.