LEGACY MEDICAL CARE INC (NPI# 1659820066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659820066 |
Entity Type | Organization |
Organization Name | LEGACY MEDICAL CARE INC |
Practice Address |
526 Main St West Chicago IL 60185-2843 |
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 |
---|---|---|---|---|
1003365412 | Legacy Medical Care Inc | Clinic/Center | 519 Dundee Ave, East Dundee, IL 60118-1642 | 2016-09-26 |
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 |
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 |
526 MAIN ST |
City | WEST CHICAGO |
State | IL |
Zip Code | 60185-2843 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184957151 | Access Community Health Network | Clinic/Center | 526 Main St, West Chicago, IL 60185-2843 | 2009-09-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033689625 | Rajipo, Inc. | Chiropractor | 2706 Bainbridge Blvd, West Chicago, IL 60185 | 2018-11-27 |
1043794779 | Carol Marie Leffler | Speech-Language Pathologist | 29 W 648 Trinity Lane, West Chicago, IL 60185 | 2018-09-19 |
1467953844 | Kimberly Gartlan | Speech-Language Pathologist | 29 W. 002 Mack Rd., West Chicago, IL 60185 | 2018-02-22 |
1962877332 | Salud Dental LLC | Rehabilitation, Substance Use Disorder Unit | 334 S. Neltnor Blvd Unit # G, West Chicago, IL 60185 | 2015-12-10 |
1073928826 | Jehangir Rustom Sethna | Pediatrics | 4n405 Waterford Lane, West Chicago, IL 60185 | 2014-06-30 |
1629406038 | Susan Elizabeth Prigge | Social Worker | 490 East Roosevelt Rd., Suite 205, West Chicago, IL 60185 | 2013-10-22 |
1336415223 | Megha Sharma | Occupational Therapist | 28w 500 Kenwood Avenue, West Chicago, IL 60185 | 2012-03-26 |
1386918563 | Elizabeth Rimui | Case Manager/Care Coordinator | 245 W. Roosevelt, West Chicago, IL 60185 | 2012-03-06 |
1982741344 | Virginia Maria Mejia | Counselor | 1275 W Roosevelt Rd, Suite 114, West Chicago, IL 60185 | 2007-02-01 |
1073608527 | Linda Barbara Hooper | Social Worker | 404 W. Boughton Rd., Suite B, Bolingbrook, IL 60185 | 2006-10-03 |
Find all providers in zip 60185 |
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 |
---|---|---|---|---|
1184957151 | Access Community Health Network | Clinic/Center | 526 Main St, West Chicago, IL 60185-2843 | 2009-09-09 |
1710065164 | Access Community Health Network | Clinic/Center | 245 W Roosevelt Rd, West Chicago, IL 60185-3739 | 2006-11-02 |
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1417567108 | Pillars Community Health | Clinic/Center | 15w458 91st St, Burr Ridge, IL 60527-6379 | 2020-08-06 |
1932724390 | Friend Family Health Center, Inc | Clinic/Center | 7355 S Jeffery Blvd, Chicago, IL 60649-3121 | 2020-06-11 |
1871117937 | Primecare Community Health Inc | Clinic/Center | 1431 N Western Ave Ste 101, Chicago, IL 60622-7712 | 2020-06-04 |
1639791569 | Community Health Partnership of Illinois | Clinic/Center | 201 W Kenyon Rd Bldg D, Champaign, IL 61820-7892 | 2020-05-14 |
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 | WEST CHICAGO |
Zip Code | 60185 |
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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.