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LOGAN MULTISPECIALTY CLINIC S C
NPI 1770015836
Internal Medicine in Burr Ridge, IL

Active since March 29, 2017
15W560 91ST ST, BURR RIDGE, IL 60527(630) 532-2021(630) 655-1815 Get Directions Write a Review

NPPES record last updated: March 21, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 21, 2018, Mar 29, 2017 (2 updates tracked since 2017).

About Logan Multispecialty Clinic S C NPPES

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

LOGAN MULTISPECIALTY CLINIC S C (NPI 1770015836) is a healthcare organization registered as an internal medicine in Burr Ridge, Illinois and active in the NPI registry since March 2017. The organization lists Facundo Benito Dovale, Director, as its authorized official.

NPPES Registry Identity

NPI1770015836
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameLOGAN MULTISPECIALTY CLINIC S C
Location Address15W560 91ST STBurr Ridge, IL 60527-6365
Mailing Address15w560 91st StBurr Ridge, IL 60527-6365 · (630) 532-2021 · Fax (630) 655-1815
Phone(630) 532-2021
Fax(630) 655-1815
Organization SubpartNo
Authorized OfficialFacundo Benito DovaleDirector · (630) 532-2021
Enumeration DateMarch 29, 2017
Last NPPES UpdateMarch 21, 20182 updates tracked since enumeration
✔ NPI 1770015836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 036085934
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
15W560 91ST ST, Burr Ridge, IL 60527
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Other Identifiers 1

Medicaid20150720620350IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 Multispecialty Clinic S C's NPI number?

The NPI number for Logan Multispecialty Clinic S C is 1770015836. It was assigned to this organization in the NPPES registry on March 29, 2017.

Where is Logan Multispecialty Clinic S C located?

Logan Multispecialty Clinic S C is located at 15w560 91st St, Burr Ridge, IL 60527. The listed phone number is (630) 532-2021.

What is Logan Multispecialty Clinic S C's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Logan Multispecialty Clinic S C was last updated on March 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.