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LEGACY MEDICAL CARE INC
NPI 1104375518
Clinic/Center - Federally Qualified Health Center (FQHC) in Mount Prospect, IL

Active since September 26, 2016CLIA 14D2067541 · Waiver
1715 W ALGONQUIN RD, MOUNT PROSPECT, IL 60056(847) 749-2248 Get Directions Write a Review

NPPES record last updated: September 26, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Legacy Medical Care Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEGACY MEDICAL CARE INC (NPI 1104375518) is a healthcare organization registered as a federally qualified health center (fqhc) in Mount Prospect, Illinois and active in the NPI registry since September 2016. The organization holds a CLIA Waiver certificate valid through October 16, 2027 and lists Melissa Donorio, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104375518
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameLEGACY MEDICAL CARE INC
Location Address1715 W ALGONQUIN RDMount Prospect, IL 60056-5401
Mailing Address1715 W Algonquin RdMount Prospect, IL 60056-5401
Phone(847) 749-2248
Organization SubpartNo
Authorized OfficialMelissa DonorioCeo · (847) 749-2248
Enumeration DateSeptember 26, 2016
✔ NPI 1104375518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
1715 W ALGONQUIN RD, Mount Prospect, IL 60056
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2067541

Legacy Medical Care Inc · Arlington Heights, IL
Active · expires Oct 16, 2027
CLIA Number14D2067541
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateOctober 17, 2025
Certificate Expiration DateOctober 16, 2027
Laboratory DirectorErnest G. Nora
Laboratory Phone(224) 535-7155
Laboratory LocationLegacy Medical Care Inc3030 W Salt Creek Lane Suite 200, Arlington Heights, IL 60005
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ACCESS COMMUNITY HEALTH NETWORK
Clinic/Center (Federally Qualified Health Center (FQHC))
1715 W ALGONQUIN RD
MOUNT PROSPECT, IL 60056
Cook County (773) 257-6770
CHARLENE APPLESON MD
Pediatrics
1715 W ALGONQUIN RD
MOUNT PROSPECT, IL 60056
Cook County (847) 725-8110

Frequently Asked Questions

What is LEGACY MEDICAL CARE INC's NPI number?

The NPI number assigned to this healthcare provider is 1104375518, enumerated as an "organization" on September 26, 2016.

Where is the provider located?

The provider is located at 1715 W ALGONQUIN RD MOUNT PROSPECT, IL 60056 and the phone number is (847) 749-2248.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).