| Medlogic LLC | |
|
114 West Rockland Road Suite 201 Libertyville IL 60048 | |
| (847) 881-6858 | |
| (847) 906-8597 |
| Full Name | Medlogic LLC |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 114 West Rockland Road, Libertyville, Illinois |
| Authorized Official Name and Position | Jill C Tydell (OWNER) |
| Authorized Official Contact | 8479468871 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medlogic LLC 5 Timberline Lane Riverwoods IL 60015 Ph: (847) 946-8871 | Medlogic LLC 114 West Rockland Road Suite 201 Libertyville IL 60048 Ph: (847) 881-6858 |
| NPI Number | 1477900785 |
|---|---|
| Provider Enumeration Date | 05/17/2016 |
| Last Update Date | 05/17/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477900785 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 036139402 (Illinois) | Primary |
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