LEGACY MEDICAL CARE INC NPI 1497181697

NPI Information

NPI: 1497181697
Provider Name: LEGACY MEDICAL CARE INC
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 14D2026201

Address:
121 S. WILKE RD
SUITE 600
ARLINGTON HEIGHTS, IL
ZIP 60005
Phone: (847) 749-2248
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LEGACY MEDICAL CARE INC is a federally qualified health center (fqhc) clinic center in Arlington Heights, IL. LEGACY MEDICAL CARE INC NPI is 1497181697. The provider is registered as an organization entity type.

The provider's business location address is:

121 S. WILKE RD
SUITE 600
ARLINGTON HEIGHTS, IL
ZIP 60005
Phone: (847) 749-2248
Fax: (847) 214-4912

The provider's authorized official is Melissa D'onorio .
The authorized official title is Ceo and has the following contact phone number (847) 749-2284.

The CLIA number assigned to this NPI record is 14D2026201 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/19/2013 and was last updated on 10/9/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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