| Scott Logan, MD | |
|
917 Sherwood Dr Ste 200, Lake Bluff, IL 60044-2234 | |
| (847) 232-3447 | |
| (224) 678-0001 |
| Full Name | Scott Logan |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 42 Years |
| Location | 917 Sherwood Dr Ste 200, Lake Bluff, Illinois |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942352125 | NPI | - | NPPES |
| 036075026 | Other | IL | STATE LICENSE |
| 036075026 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 036075026 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northwestern Lake Forest Hospital | Lake forest, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Together Women's Health Medical Group Of Illinois, Pllc | 8325195506 | 21 |
| Entity Name | Westmoreland Obstetric & Gynecologic Associates Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124059043 PECOS PAC ID: 4082646880 Enrollment ID: O20050831000950 |
| Entity Name | Together Women's Health Medical Group Of Illinois, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912161100 PECOS PAC ID: 8325195506 Enrollment ID: O20090403000207 |
| Mailing Address | Practice Location Address |
|---|---|
| Scott Logan, MD 917 Sherwood Dr Ste 200, Lake Bluff, IL 60044-2234 Ph: (847) 232-3447 | Scott Logan, MD 917 Sherwood Dr Ste 200, Lake Bluff, IL 60044-2234 Ph: (847) 232-3447 |
Kelley J. London, M.D. Obstetrics & Gynecology Medicare: May Accept Medicare Assignments Practice Location: 917 Sherwood Dr Ste 200, Lake Bluff, IL 60044 Phone: 847-232-3447 Fax: 224-678-0001 | |
Adam K Cohan, M.D. Obstetrics & Gynecology Medicare: May Accept Medicare Assignments Practice Location: 917 Sherwood Dr Ste 200, Lake Bluff, IL 60044 Phone: 847-232-3447 Fax: 224-678-0001 |