Legacy Healthcare Services INC

NPI #1720676661 in South Elgin, Illinois

Provider Information

NPI Number: 1720676661
Entity Type: Organization
Organization Name: Legacy Healthcare Services INC
Primary Specialty: Physical Therapist
Enumeration Date: Jan 6, 2021
Last Updated: Jan 6, 2021

Practice Location

Address: 1901 SILVER GLEN RD
City: South Elgin
State: Illinois
ZIP Code: 60177-3351
Phone: (855) 239-3467

Authorized Official

Name: MR. WILLIAM G WILSON JR.
Title: CHIEF FINANCIAL OFFICER
Phone: (919) 424-5080

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Speech-Language Pathologist	235Z00000X
Physical Therapist	225100000X	Primary

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