| Legacy Medical Care Inc | |
|
6620 Barrington Rd Hanover Park IL 60133-3935 | |
| (847) 749-2248 | |
| Not Available |
| Full Name | Legacy Medical Care Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6620 Barrington Rd, Hanover Park, Illinois |
| Authorized Official Name and Position | Melissa Donorio (CEO) |
| Authorized Official Contact | 8477492248 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Medical Care Inc 6620 Barrington Rd Hanover Park IL 60133-3935 Ph: () - | Legacy Medical Care Inc 6620 Barrington Rd Hanover Park IL 60133-3935 Ph: (847) 749-2248 |
| NPI Number | 1558810960 |
|---|---|
| Provider Enumeration Date | 09/26/2016 |
| Last Update Date | 09/26/2016 |
| Medicare PECOS PAC ID | 7416183298 |
|---|---|
| Medicare Enrollment ID | O20161206000464 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558810960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Illinois) | Primary |
Ls Medical Group,l.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1515 E Lake St, Suite 208, Hanover Park, IL 60133 Phone: 312-576-3678 Fax: 866-401-3217 | |
Oakton Medical Associates Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1300 Greenbrook Blvd, Suite 204, Hanover Park, IL 60133 Phone: 630-830-8100 Fax: 630-830-8081 | |
Greater Elgin Family Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2100 Elm Ave, Hanover Park, IL 60133 Phone: 847-608-1344 | |
Antonio B. Cruz M.d.s.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1601 Tanglewood Ave Ste 106, Hanover Park, IL 60133 Phone: 630-289-7800 Fax: 630-289-9187 | |
Suburban Medical Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1802 Irving Park Rd, Hanover Park, IL 60133 Phone: 630-289-0440 Fax: 630-289-0442 |