| Legacy Medical Care Inc | |
|
121 S. Wilke Rd Suite 600 Arlington Heights IL 60005 | |
| (847) 749-2248 | |
| (847) 214-4912 |
| Full Name | Legacy Medical Care Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 121 S. Wilke Rd, Arlington Heights, Illinois |
| Authorized Official Name and Position | Melissa D'onorio (CEO) |
| Authorized Official Contact | 8477492284 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Medical Care Inc 121 S. Wilke Rd Suite 600 Arlington Heights IL 60005 Ph: (847) 749-2248 | Legacy Medical Care Inc 121 S. Wilke Rd Suite 600 Arlington Heights IL 60005 Ph: (847) 749-2248 |
| NPI Number | 1497181697 |
|---|---|
| Provider Enumeration Date | 09/19/2013 |
| Last Update Date | 10/09/2015 |
| Medicare PECOS PAC ID | 7416183298 |
|---|---|
| Medicare Enrollment ID | O20150804004807 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497181697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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