| Legacy Medical Care Inc | |
|
1715 W Algonquin Rd Mount Prospect IL 60056-5401 | |
| (847) 749-2248 | |
| Not Available |
| Full Name | Legacy Medical Care Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1715 W Algonquin Rd, Mount Prospect, 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 1715 W Algonquin Rd Mount Prospect IL 60056-5401 Ph: () - | Legacy Medical Care Inc 1715 W Algonquin Rd Mount Prospect IL 60056-5401 Ph: (847) 749-2248 |
| NPI Number | 1104375518 |
|---|---|
| Provider Enumeration Date | 09/26/2016 |
| Last Update Date | 09/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104375518 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Illinois) | Primary |
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