Legacy Medical Care INC
NPI #1659820066 in West Chicago, Illinois
Provider Information
- NPI Number
- 1659820066
- Entity Type
- Organization
- Organization Name
- Legacy Medical Care INC
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Sep 26, 2016
- Last Updated
- Sep 26, 2016
Practice Location
- Address
- 526 MAIN ST
- City
- West Chicago
- State
- Illinois
- ZIP Code
- 60185-2843
- Phone
- (847) 749-2248
Authorized Official
- Name
- MRS. MELISSA DONORIO, RN
- Title
- CEO
- Phone
- (847) 749-2248
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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