WANDA COOK LOGAN RT,R DMS
NPI 1548916000
Radiology - Diagnostic Ultrasound in Richton Park, IL

Active since February 23, 2022
5111 SAULK TRAIL, RICHTON PARK, IL 60471(219) 836-4702(219) 841-7004 Get Directions Write a Review

NPPES record last updated: February 23, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Wanda Cook Logan Rt,r Dms NPPES

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

WANDA COOK LOGAN RT,R DMS (NPI 1548916000) is an individual diagnostic ultrasound provider in Richton Park, Illinois, licensed in Illinois (156765) and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1548916000
Entity TypeIndividualFemale
Primary Taxonomy2085U0001X
Provider Legal NameWANDA COOK LOGANCredential: RT,R DMS
Location Address5111 SAULK TRAILRichton Park, IL 60471
Mailing Address19753 Oakwood AveLynwood, IL 60411-6333 · (708) 250-7108 · Fax (219) 841-7004
Fax(219) 841-7004
Sole ProprietorNo
Enumeration DateFebruary 23, 2022
NPPES CertifiedFebruary 10, 2022
NPI 1548916000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic UltrasoundAllopathic & Osteopathic Physicians
Taxonomy Code2085U0001X
License Licensed in IL · 156765
Definition
A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.
5111 SAULK TRAIL, Richton Park, IL 60471

Other Names 1

Professional Name (2)Ms. Wanda F Logan

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 Wanda Cook Logan's NPI number?

The NPI number for Wanda Cook Logan is 1548916000. It was assigned to this individual provider in the NPPES registry on February 23, 2022. The provider is also known as Ms. Wanda F Logan.

Where is Wanda Cook Logan located?

Wanda Cook Logan practices at 5111 Saulk Trail, Richton Park, IL 60471. The listed phone number is (219) 836-4702.

What is Wanda Cook Logan's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Ultrasound, with taxonomy code 2085U0001X.

When was this NPI record last updated?

The NPPES record for Wanda Cook Logan was last updated on February 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.