Logan Spicer's National Provider Identifier (NPI) Details
Logan Spicer,
NPI: 1770140949
Enumeration Date: 2019-05-23
Last updated: 2023-08-22
Sole Proprietor: YES
Status: active
Postal Address: 9855 W ROOSEVELT RD, WESTCHESTER, IL
Phone: 708-681-2325
Primary Practice Address: 3123 S SHIELDS AVE APT BSMT, CHICAGO, IL
Practice's phone: 317-619-9225