Legacy Medical Care Inc | |
526 Main St West Chicago IL 60185-2843 | |
(847) 749-2248 | |
Not Available |
Full Name | Legacy Medical Care Inc |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 526 Main St, West Chicago, 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 |
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Legacy Medical Care Inc 526 Main St West Chicago IL 60185-2843 Ph: () - | Legacy Medical Care Inc 526 Main St West Chicago IL 60185-2843 Ph: (847) 749-2248 |
NPI Number | 1659820066 |
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Provider Enumeration Date | 09/26/2016 |
Last Update Date | 09/26/2016 |
Identifier | Type | State | Issuer |
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1659820066 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Illinois) | Primary |
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