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NPI · 1831480896 · NPPES-sourced

Dr. Mallory Logsdon D.O.

ActivePediatrics
NPI Number
1831480896
Type 1 · Individual
Taxonomy Code
208000000X
Contact
(847) 990-5450
License IL · 036.135544
Last Updated
Enumerated
Primary practice addressIL · 60048-3204
801 S Milwaukee AveLibertyville, IL 60048-3204
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About this NPIWhat this record shows.

NPI 1831480896 is registered to Dr. Mallory Logsdon D.O., a Pediatrics practising at 801 S Milwaukee Ave in Libertyville, Illinois. Pediatrics is the medical specialty focused on the health of infants, children, and adolescents through age 21. Dr. Mallory Logsdon D.O. has been enumerated in the National Provider Identifier (NPI) registry since 2011.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Dr. Mallory Logsdon D.O. accepts. To confirm in-network status with your specific health plan, contact Dr. Mallory Logsdon D.O. directly at (847) 990-5450.

Frequently asked

Yes. NPI 1831480896 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Pediatrics is the medical specialty focused on the health of infants, children, and adolescents through age 21.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (847) 990-5450.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Dr. Mallory Logsdon D.O. is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy208000000X
Last updated
Enumerated
StatusActive
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8 records · same addressOther providers at this location.

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Same specialtyOther Pediatrics providers in Illinois.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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