LOGAN VAN POUCKE
NPI 1093660599
Student in an Organized Health Care Education/Training Program in Chicago, IL

Active since February 28, 2026
1853 W POLK ST, CHICAGO, IL 60612(630) 201-0378 Get Directions Write a Review

NPPES record last updated: February 28, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Logan Van Poucke NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LOGAN VAN POUCKE (NPI 1093660599) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1093660599
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameLOGAN VAN POUCKE
Location Address1853 W POLK STChicago, IL 60612-4355
Mailing Address1257 Jane AveNaperville, IL 60540-5644 · (630) 201-0378
Sole ProprietorNo
Enumeration DateFebruary 28, 2026
NPPES CertifiedFebruary 28, 2026
NPI 1093660599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

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.

1853 W POLK ST, Chicago, IL 60612

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
1853 W POLK ST
CHICAGO, IL 60612
Student in an Organized Health Care Education/Training Program
1853 W POLK ST
CHICAGO, IL 60612
Student in an Organized Health Care Education/Training Program
1853 W POLK ST
CHICAGO, IL 60612
Student in an Organized Health Care Education/Training Program
1853 W POLK ST
CHICAGO, IL 60612
Student in an Organized Health Care Education/Training Program
1853 W POLK ST
CHICAGO, IL 60612
Student in an Organized Health Care Education/Training Program
1853 W POLK ST
CHICAGO, IL 60612
Student in an Organized Health Care Education/Training Program
1853 W POLK ST
CHICAGO, IL 60612
Student in an Organized Health Care Education/Training Program
1853 W POLK ST
CHICAGO, IL 60612

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Logan Van Poucke's NPI number?

The NPI number for Logan Van Poucke is 1093660599. It was assigned to this individual provider in the NPPES registry on February 28, 2026.

Where is Logan Van Poucke located?

Logan Van Poucke practices at 1853 W Polk St, Chicago, IL 60612. The listed phone number is (630) 201-0378.

What is Logan Van Poucke's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Logan Van Poucke was last updated on February 28, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.