Phillip K Logsdon
Podiatrist
1802 S. Mattis Avenue Orthopedics
Champaign
, Illinois 61821
Phillip K Logsdon
Podiatrist
1802 S. Mattis Avenue Orthopedics
Champaign
, Illinois 61821
(217) 383-6792
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About
Features
Specialties
- Podiatrist
Languages spoken
- English
Location
First Address
- Phillip K Logsdon
- 611 W Park St Bwpc
- Urbana, IL
- Zip : 61801-2529
- Phone : (217) 383-6792
Second Address
- Phillip K Logsdon
- 1802 S. Mattis Avenue Orthopedics
- Champaign, IL
- Zip : 61821
- Phone : (217) 383-3260
Reviews
FAQs
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What type of doctor is Phillip K Logsdon
In what state does Phillip K Logsdon practice in?
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Is Phillip K Logsdon accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 016003166 | IL |
| Y | 222Z00000X | Podiatrist | 016003166 | IL |
National Provider Identifier
| NPI | 1043230089 |
|---|---|
| Provider Name | Phillip K Logsdon |
| First Address | Urbana, IL 61801-2529 |
| Second Address | Champaign, IL 61821 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/07/2006 |
| Last Update Date | 07/05/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 480014262 | RAILROAD (01) | IL |
| T37466 | (02) | |
| T37466 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.