LEGACY MEDICAL SUPPLY LLC
NPI 1710774534
Durable Medical Equipment & Medical Supplies in Waukegan, IL

Q: What is Legacy Medical Supply LLC's NPI number?

The NPI number for Legacy Medical Supply LLC is 1710774534. It was assigned to this organization in the NPPES registry on April 23, 2025.

Q: What is Legacy Medical Supply LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Active since April 23, 2025

1616 GRAND AVE STE 105, WAUKEGAN, IL 60085(847) 942-1385 Get Directions Write a Review

NPPES record last updated: May 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Legacy Medical Supply Llc NPPES

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

LEGACY MEDICAL SUPPLY LLC (NPI 1710774534) is a healthcare organization registered as a durable medical equipment & medical supplies in Waukegan, Illinois and active in the NPI registry since April 2025. The organization lists Cameron Andre Weatherford, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1710774534

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NameLEGACY MEDICAL SUPPLY LLC

Location Address1616 GRAND AVE STE 105Waukegan, IL 60085-3676

Mailing Address1616 Grand Ave Ste 105Waukegan, IL 60085-3676 · (847) 942-1385

Phone(847) 942-1385

Organization SubpartNo

Authorized OfficialCameron Andre WeatherfordManaging Partner · (224) 214-3916

Enumeration DateApril 23, 2025

Last NPPES UpdateMay 1, 2025

NPPES CertifiedMay 1, 2025

✔ NPI 1710774534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers

Taxonomy Code332B00000X

Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

1616 GRAND AVE STE 105, Waukegan, IL 60085

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Legacy Medical Supply LLC's NPI number?

The NPI number for Legacy Medical Supply LLC is 1710774534. It was assigned to this organization in the NPPES registry on April 23, 2025.

Where is Legacy Medical Supply LLC located?

Legacy Medical Supply LLC is located at 1616 Grand Ave Ste 105, Waukegan, IL 60085. The listed phone number is (847) 942-1385.

What is Legacy Medical Supply LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Legacy Medical Supply LLC was last updated on May 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.