Individual provider · Type 1 NPI

Logan Mark Koi, PA-C

Physician Assistant · Chicago, IL

NPI number 1902637069 Active

Practice location

1611 W Harrison St Ste 400
Chicago, IL 60612-4861

Call (877) 632-6637 Map

Fax (708) 409-5179

Other practice locations

  • 9200 Calumet Ave Ste 300, Munster, IN 46321-2885 · (877) 632-6637

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X10004716A (IN)
Physician Assistant Primary 363A00000X085011021 (IL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1902637069

Logan Mark Koi, PA-C's National Provider Identifier is 1902637069, issued on Aug 12, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Chicago, IL. The record was last updated on Jan 24, 2025.