Dr. Mallory M. Logsdon
D.O. | Pediatrics | Female
Dr. Mallory M. Logsdon, D.O. is a Libertyville, Illinois based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Mallory M. Logsdon is
801 S Milwaukee Ave, Libertyville, Illinois - 60048-3204. She can be contacted on phone at
847-990-5450 and fax number 847-573-4287.
Dr. Mallory M. Logsdon is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Mallory M. Logsdon is
1831480896 which was assigned by NPPES on 26 Apr, 2011 and it was last updated on 03 Jun, 2022.
Dr. Mallory M. Logsdon license number is
036.135544 for Pediatrics (208000000X) in Illinois.
Dr. Mallory M. Logsdon is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Mallory M. Logsdon basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Dr. Mallory M. Logsdon |
|---|
| Credential : | D.O. |
|---|
| Gender : | Female |
|---|
| Sole Proprietor : | Yes |
|---|
Business Address:
Dr. Mallory M. Logsdon address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 801 S Milwaukee Ave
Libertyville, IL, 60048-3204
United States |
|---|
| Phone Number : | 847-990-5450 |
|---|
| Fax Number : | 847-573-4287 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1831480896 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 26 Apr, 2011 |
|---|
| Last Updated On : | 03 Jun, 2022 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Mallory M. Logsdon are as mentioned. Primary taxonomy code for Dr. Mallory M. Logsdon, D.O. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | No | | |
| 208000000X | Pediatrics | Yes | 036.135544 | IL |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
1425 N RANDALL RD,
ELGIN, IL, 60123-2300
United States | ELGIN, IL | 224-783-5437 |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | mlogsdon234362@direct.myadvocateaurora.org
| No affiliation |
|
| 801 S MILWAUKEE AVE,
LIBERTYVILLE, IL, 60048-3204
United States |
FHIR
(FHIR URL) | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
| No affiliation |
|
| 801 S MILWAUKEE AVE,
LIBERTYVILLE, IL, 60048-3204
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 29373 Network Pl
Chicago, IL, 60673-1293
United States |
|---|
| Phone Number : | 847-390-5900 |
|---|
Business Location:
Patients can refer following map for directions to
Dr. Mallory M. Logsdon practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.