Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
THE LEGACY RANCH LLC
Active
Organization
THE LEGACY RANCH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDI MOLESKI (OWNER)
(630) 601-8920
Entity
Organization
Contact information
Practice address
2705 S FARRELL RD, LOCKPORT, IL 60441-9760
(630) 601-8920
Mailing address
2705 S FARRELL RD, LOCKPORT, IL 60441-9760
(630) 601-8920
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1881129583
NPI
IL
Enumeration date
12/13/2021
Last updated
12/13/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up