Organization
LEGACY MEDICAL CARE INC
Active
Organization
LEGACY MEDICAL CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA DONORIO RN (CEO)
(847) 749-2248
Entity
Organization
Contact information
Practice address
526 MAIN ST, WEST CHICAGO, IL 60185-2843
(847) 749-2248
Mailing address
526 MAIN ST, WEST CHICAGO, IL 60185-2843
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
IL
Other
Enumeration date
09/26/2016
Last updated
09/26/2016
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