Organization
THE LEGACY COMMUNITY FOUNDATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD D. WHITTAKER (COO)
(630) 728-2320
Entity
Organization
Contact information
Practice address
1451 BLACK RD, JOLIET, IL 60435-3809
(630) 725-2320
Mailing address
1451 BLACK RD, JOLIET, IL 60435-3809
(630) 725-2320
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103TF0000X
Family Psychologist
—
—
104100000X
Social Worker
—
—
106E00000X
Assistant Behavior Analyst
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
133V00000X
Registered Dietitian
—
—
163W00000X
Registered Nurse
—
—
163WC1500X
Community Health Registered Nurse
—
—
171M00000X
Case Manager/Care Coordinator
—
—
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
347B00000X
Bus
—
—
363LX0106X
Occupational Health Nurse Practitioner
—
—
Other
Enumeration date
03/27/2021
Last updated
03/27/2021
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