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Active NPI 1356723357 Individual Practitioner Male Practitioner

Dr. Logan Traylor , MD

Emergency Medicine • Oak Lawn, IL

Professional Overview & Biography Verified Profile Summary

Dr. Logan Traylor, MD is a registered healthcare professional specializing in Emergency Medicine in Oak Lawn, IL. Practice services are available at 4440 W 95TH ST under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, critical care, first, emergency department visit with moderate level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4440 W 95th St

Oak Lawn, IL 604532600

Telephone 7086845375
Fax 7086841028
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Oak Lawn, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.4 Yrs
State Avg: 24.6 Yrs
Regional Practice Density
163 Specialists

Practicing in Oak Lawn, IL (3389 Statewide)

Telehealth Adoption Rate
1.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
88.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity
249 241 $1350.09 $160.76
99291 Critical care, first 30-74 minutes
43 43 $1656.65 $195.60
99284 Emergency department visit with moderate level of medical decision making
25 25 $930.12 $111.05

Medical Specialties & State Licenses

CMS Verified: 2025-10-06
Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License IN 01079994A

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

State License IL 125.067136

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0345541 (OH)

Secondary Practice Locations

7950 W Jefferson Blvd

Fort Wayne, IN 468044140

Phone: 2604352699

Po Box 635004

Cincinnati, OH 452635004

Phone: 8889526772

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Michael Cirone , MD

Emergency Medicine

NPI 1003221490

Doctor of Medicine (M.D.)

Dr. Kelsey Kennedy , MD

Emergency Medicine

NPI 1003494501

Doctor of Medicine (M.D.)

Stephen Baldassari

Student in an Organized Health Care Education/Training Program

NPI 1003664830
Dr. Timothy Henderson , MD

Emergency Medicine

NPI 1033600168

Doctor of Medicine (M.D.)

Anderson Carter

Emergency Medicine

NPI 1053061390
Dr. Nicolas Kettaneh , MD

Emergency Medicine

NPI 1063708196

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 20, 2024

Student in an Organized Health Care Education/Training Program (License #125.067136 in IL)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2021

Emergency Medicine (License #01079994A in IN)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 02, 2018

Emergency Medicine (License #01079994 in IN)

NPI Profile Active June 25, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location June 25, 2015

Registered at 4440 W 95TH ST, OAK LAWN, IL 604532600 (Tel: 7086845375)

📍
Updated Business Mailing Address June 25, 2015

Registered at 4440 W 95TH ST, OAK LAWN, IL 604532600 (Tel: 7086845375)

👤
Provider Name / Credentials Updated June 25, 2015

Recorded as LOGAN TRAYLOR, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2015

Student in an Organized Health Care Education/Training Program (License #125.067136 in IL)

🟢
Initial NPI Registration & Enumeration June 25, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1356723357
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 25, 2015
Last Update: October 06, 2025
Sole Proprietor: No

Mailing Address

4440 W 95th St

Oak Lawn, IL 604532600

Phone: 7086845375

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.