| Legacy Medical Care Inc | |
|
2055 W Army Trail Rd Addison IL 60101-1478 | |
| (847) 749-2248 | |
| Not Available |
| Full Name | Legacy Medical Care Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 2055 W Army Trail Rd, Addison, Illinois |
| Authorized Official Name and Position | Melissa Donorio (CEO) |
| Authorized Official Contact | 8477492248 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Medical Care Inc 2055 W Army Trail Rd Addison IL 60101-1478 Ph: () - | Legacy Medical Care Inc 2055 W Army Trail Rd Addison IL 60101-1478 Ph: (847) 749-2248 |
| NPI Number | 1902355316 |
|---|---|
| Provider Enumeration Date | 09/26/2016 |
| Last Update Date | 09/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902355316 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Illinois) | Primary |
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Concentra Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 South Grace Street, Addison, IL 60101 Phone: 630-543-4040 Fax: 630-543-1050 | |
Ricardo Martinez, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201 W Army Trail Blvd, Addison, IL 60101 Phone: 630-458-9200 Fax: 630-458-8460 | |
Concentra Medical Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 S Grace St, Addison, IL 60101 Phone: 630-543-4040 Fax: 630-543-1050 | |
Bozena Scigacz Medical Office S.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 28 W Lake St, Suite 2, Addison, IL 60101 Phone: 630-458-0688 Fax: 630-458-0698 | |
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