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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. LOGAN HAYES WEATHERFORD NEURPHYSIOLOGIST
NPI 1205548864
Physician Assistant - Surgical in Mokena, IL

Active since December 14, 2022
18761 CHESTNUT CT, MOKENA, IL 60448(786) 448-9020 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 1, 2026, Dec 14, 2022 (2 updates tracked since 2022).

About Mr. Logan Hayes Weatherford Neurphysiologist NPPES

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

MR. LOGAN HAYES WEATHERFORD NEURPHYSIOLOGIST (NPI 1205548864) is an individual surgical provider in Mokena, Illinois, licensed in Illinois (238.010990) and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1205548864
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. LOGAN HAYES WEATHERFORDCredential: NEURPHYSIOLOGIST
Location Address18761 CHESTNUT CTMokena, IL 60448-9501
Mailing Address7455 W Washington Ave Ste 302Las Vegas, NV 89128-4340 · (217) 649-6664
Phone(786) 448-9020
Sole ProprietorYes
Enumeration DateDecember 14, 2022
Last NPPES UpdateJune 24, 20262 updates tracked since enumeration
NPPES CertifiedJune 24, 2026
✔ NPI 1205548864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in IL · 238.010990
Also ListedSpecialist/Technologist, Other · Surgical AssistantTaxonomy 246ZC0007X · License 238.010990 (IL)
Also ListedSpecialist/Technologist, Other · ElectroneurodiagnosticTaxonomy 246ZE0600X
18761 CHESTNUT CT, Mokena, IL 60448
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Other Providers at the Same Location NPPES 8

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

ABRAHAM JOSE CHOURIO SA-C
Physician Assistant (Surgical)
18761 CHESTNUT CT
MOKENA, IL 60448
Will County (786) 448-9020
ANGEL RUIZ SA-C
Physician Assistant (Surgical)
18761 CHESTNUT CT
MOKENA, IL 60448
Will County (786) 448-9020
CARLOS ALBERTO NATERA GARCIA SA-C
Physician Assistant (Surgical)
18761 CHESTNUT CT
MOKENA, IL 60448
Will County (847) 477-0308
ROCIO DEL VALLE RUIZ DUQUE SA-C
Physician Assistant (Surgical)
18761 CHESTNUT CT
MOKENA, IL 60448
Will County (786) 448-9020
ALFREDO MANUEL URQUIOLA SA-C
Physician Assistant (Surgical)
18761 CHESTNUT CT
MOKENA, IL 60448
Will County (786) 448-9020
OSCAR ALONSO VIRLA SA-C
Specialist/Technologist, Other (Surgical Assistant)
18761 CHESTNUT CT
MOKENA, IL 60448
Will County (786) 448-9020
PROASSISTING, INC
Physician Assistant (Surgical)
18761 CHESTNUT CT
MOKENA, IL 60448
Will County (786) 448-9020
JOSE BALBOA BLANCO SURGICAL ASSISTANT
Physician Assistant (Surgical)
18761 CHESTNUT CT
MOKENA, IL 60448
Will County (786) 296-5425

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 Weatherford's NPI number?

The NPI number for Logan Weatherford is 1205548864. It was assigned to this individual provider in the NPPES registry on December 14, 2022.

Where is Logan Weatherford located?

Logan Weatherford practices at 18761 Chestnut Ct, Mokena, IL 60448. The listed phone number is (786) 448-9020.

What is Logan Weatherford's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Logan Weatherford was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 47 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.