Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Mallory M. Logsdon, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1831480896

Dr. Mallory M. Logsdon, DO is a Student in an Organized Health Care Education/Training Program in Libertyville, Illinois. Practices as a sole proprietor and works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2011
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Libertyville, IL

No coordinates on file. Search this address in Google Maps

Additional practice locations (1)

  • 1425 N Randall Rd, Elgin, IL 60123-2300 — (224) 783-5437

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 036.135544 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1831480896
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 26, 2011
Last updated in NPPESMarch 6, 2025
Certification dateMarch 6, 2025

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