LEGACY MEDICAL CARE INC (NPI# 1003365412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003365412 |
| Entity Type | Organization |
| Organization Name | LEGACY MEDICAL CARE INC |
| Practice Address |
519 Dundee Ave East Dundee IL 60118-1642 |
| Practice Telephone | 8477492248 |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2016-09-26 |
| Authorized Official Name | MRS. MELISSA DONORIO (CEO) |
| Authorized Official Telephone | 8477492248 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
IL | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750830162 | Legacy Medical Care Inc | Clinic/Center | 860 Summit St Ste 241, Elgin, IL 60120-4339 | 2016-09-26 |
| 1497181697 | Legacy Medical Care Inc | Clinic/Center | 121 S. Wilke Rd, Suite 600, Arlington Heights, IL 60005 | 2013-09-19 |
| 1104375518 | Legacy Medical Care Inc | Clinic/Center | 1715 W Algonquin Rd, Mount Prospect, IL 60056-5401 | 2016-09-26 |
| 1558810960 | Legacy Medical Care Inc | Clinic/Center | 6620 Barrington Rd, Hanover Park, IL 60133-3935 | 2016-09-26 |
| 1659820066 | Legacy Medical Care Inc | Clinic/Center | 526 Main St, West Chicago, IL 60185-2843 | 2016-09-26 |
| 1902355316 | Legacy Medical Care Inc | Clinic/Center | 2055 W Army Trail Rd, Addison, IL 60101-1478 | 2016-09-26 |
| 1205385614 | Legacy Medical Care Inc | Clinic/Center | 229 W Grand Ave, Suite T, Bensenville, IL 60106-3399 | 2016-09-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LEGACY MEDICAL CARE INC. | 121 S Wilke Rd 6th Flr, Arlington Heights, IL 60005-1533 |
| Street Address |
519 DUNDEE AVE |
| City | EAST DUNDEE |
| State | IL |
| Zip Code | 60118-1642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093291411 | Pro Dental Care Ltd | Clinic/Center | 1053 Main Street, Sleepy Hollow, IL 60118 | 2018-07-18 |
| 1104333640 | Natasha Ann Radnovich | Behavioral Analyst | 533 S 5th St, West Dundee, IL 60118 | 2018-01-05 |
| 1588105639 | Rabije Hajdini | Counselor | 528 Market Loop # 4b, West Dundee, IL 60118 | 2017-03-08 |
| 1942752548 | Suhark Healthcare and Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 600 Spring Hill Ring Rd Ste 109, West Dundee, IL 60118 | 2016-10-29 |
| 1386043867 | Jennifer Pate | Physical Therapist | 117 S 6th St, West Dundee, IL 60118 | 2014-08-20 |
| 1255755096 | Associates In Behavioral Health Care | Counselor | 783 8th Street, Century Plaza, West Dundee, IL 60118 | 2014-02-14 |
| 1003043290 | Castle Ventures, Inc. | In Home Supportive Care | 513 W. Main St., W. Dundee, IL 60118 | 2009-06-16 |
| 1114199965 | Brian Scott Vence | Dentist | 700 Willow Lane, Suite G, West Dundee, IL 60118 | 2008-04-01 |
| 1871703595 | Pallavi Gangupantula | Physical Therapist | 600 Spring Hill Ring Road,suite 118, West Dundee, IL 60118 | 2007-05-23 |
| 1104965219 | Barbra Mccoy Getz | Social Worker | 213 Jamestowne, Sleepy Hollow, IL 60118 | 2007-02-05 |
| Find all providers in zip 60118 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982150983 | Aunt Martha's Youth Service Center | Clinic/Center | 511 Dundee Ave, East Dundee, IL 60118-1642 | 2016-08-30 |
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| 1407482219 | Access Community Health Network | Clinic/Center | 6020 W Diversey Ave Bldg West, Chicago, IL 60639-1108 | 2020-03-13 |
| 1235769704 | Greater Elgin Family Care Center | Clinic/Center | 451 N Mclean Blvd, Elgin, IL 60123-3239 | 2020-01-23 |
| 1710517537 | Greater Elgin Family Care Center Integrated Health Home | Clinic/Center | 1100 Shirley Ave, Streamwood, IL 60107-3068 | 2020-01-21 |
| 1215578109 | Board of Trustees of Southern Illinois University | Clinic/Center | 205 S 24th St Ste 100, Quincy, IL 62301-4446 | 2019-10-02 |
| 1437708674 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak Street, Carbondale, IL 62901 | 2019-09-10 |
| 1427600345 | The Board of Trustees of The University of Illinois | Clinic/Center | 6835 S Normal Blvd, Chicago, IL 60621-2535 | 2019-07-11 |
| Find all providers with the same taxonomy | ||||
| City | EAST DUNDEE |
| Zip Code | 60118 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.