NPI 1043678766

Martin Logo, MPH

Practitioner Community Health Worker Moline, IL

Practice location

Address: 2316 5th Ave, Moline, IL 61265-1530
Phone: (309) 762-5433
Fax: (309) 762-4481

Registered specialties (2)

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X

Other Community Health Worker providers in Illinois →

Case Manager/Care Coordinator

Other Service Providers Taxonomy 171M00000X

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Registry record

NPI: 1043678766
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Feb 2016
Record last updated: 9 Feb 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.