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Organization
LEGACY MEDICAL GROUP
Active
Organization
LEGACY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMER YUSAF MD (MANAGING MEMBER)
(607) 425-8381
Entity
Organization
Contact information
Practice address
333 MADISON ST, JOLIET, IL 60435-8200
(815) 725-7133
Mailing address
3419 NOBLE DR, WOODRIDGE, IL 60517-1417
(607) 425-8381
(815) 205-4561
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
05/11/2026
Last updated
07/07/2026
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