| Legacy Physiatry Group | |
|
1603 Orrington Ave Ste 600 Evanston IL 60201-3841 | |
| (972) 372-1663 | |
| (972) 372-1657 |
| Full Name | Legacy Physiatry Group |
|---|---|
| Speciality | Physical Medicine & Rehabilitation |
| Location | 1603 Orrington Ave, Evanston, Illinois |
| Authorized Official Name and Position | Vivek Sastry (PRESIDENT/CEO) |
| Authorized Official Contact | 9723721663 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Physiatry Group 850 Central Pkwy E Suite 275 Plano TX 75074-5561 Ph: (972) 372-1663 | Legacy Physiatry Group 1603 Orrington Ave Ste 600 Evanston IL 60201-3841 Ph: (972) 372-1663 |
| NPI Number | 1467830349 |
|---|---|
| Provider Enumeration Date | 05/12/2015 |
| Last Update Date | 05/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467830349 | NPI | - | NPPES |
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