| Legacy Family Center, Ltd. | |
|
1580 N Northwest Hwy Suite 311-d Park Ridge IL 60068-1444 | |
| (847) 827-0600 | |
| (847) 827-0655 |
| Full Name | Legacy Family Center, Ltd. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1580 N Northwest Hwy, Park Ridge, Illinois |
| Authorized Official Name and Position | Nada Marie Brzovich (DIRECTOR) |
| Authorized Official Contact | 8478270600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Family Center, Ltd. 1580 N Northwest Hwy Suite 311-d Park Ridge IL 60068-1444 Ph: (847) 827-0600 | Legacy Family Center, Ltd. 1580 N Northwest Hwy Suite 311-d Park Ridge IL 60068-1444 Ph: (847) 827-0600 |
| NPI Number | 1508187337 |
|---|---|
| Provider Enumeration Date | 06/16/2010 |
| Last Update Date | 06/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508187337 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149010861 (Illinois) | Primary |
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