Individual
DR. DONALD R LEGAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
EDD
Contact information
Practice address
5409 N KNOXVILLE, PEORIA, IL 61614
(309) 691-0420
(309) 691-0520
Mailing address
5409 N KNOXVILLE, PEORIA, IL 61614
(309) 691-0420
(309) 691-0520
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
71002085
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07220997
BCBS
—
01
—
L015956
CHAMPUS
—
Enumeration date
03/07/2006
Last updated
05/17/2026
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