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Organization

LEGACY MEDICAL GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
OMER YUSAF MD (MANAGING MEMBER)
(815) 725-7133
Entity
Organization

Contact information

Practice address
333 MADISON ST, JOLIET, IL 60435-8200
(815) 725-7133
Mailing address
333 MADISON ST, JOLIET, IL 60435-8200
(815) 725-7133

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
208M00000X
Hospitalist Physician
Primary

Other

Enumeration date
05/11/2026
Last updated
05/11/2026
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