Logan H. Weatherford, NEURPHYSIOLOGIST
Surgical PA · Mokena, IL
UnclaimedNEURPHYSIOLOGISTNPI 1205548864
- Primary taxonomy
- 363AS0400X
- Enumerated
- 2022-12-14
- Practice location
- Mokena, IL
- Last NPPES update
- 2026-06-24
State licenses
- IL · Surgical technologist · REGISTERED SURGICAL ASSISTANTActivethrough 2028
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.