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LEGACY MEDICAL CARE INC
NPI 1902355316
Clinic/Center - Federally Qualified Health Center (FQHC) in Addison, IL

Active since September 26, 2016CLIA 14D2026160 · Microscopy
2055 W ARMY TRAIL RD, ADDISON, IL 60101(847) 749-2248 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 13, 2026, Sep 26, 2016 (2 updates tracked since 2016).

About Legacy Medical Care Inc NPPES

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

LEGACY MEDICAL CARE INC (NPI 1902355316) is a healthcare organization registered as a federally qualified health center (fqhc) in Addison, Illinois and active in the NPI registry since September 2016. The organization holds a CLIA Microscopy certificate valid through June 23, 2027 and lists Melissa Donorio, Ceo, as its authorized official.

NPPES Registry Identity

NPI1902355316
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameLEGACY MEDICAL CARE INC
Location Address2055 W ARMY TRAIL RDAddison, IL 60101-1478
Mailing Address2055 W Army Trail RdAddison, IL 60101-1478 · (630) 599-5400 · Fax (630) 705-1049
Phone(847) 749-2248
Organization SubpartNo
Authorized OfficialMelissa DonorioCeo · (847) 749-2248
Enumeration DateSeptember 26, 2016
Last NPPES UpdateMay 13, 20262 updates tracked since enumeration
NPPES CertifiedMay 13, 2026
✔ NPI 1902355316 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
2055 W ARMY TRAIL RD, Addison, IL 60101
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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 for Provider-Performed Microscopy Procedures (PPMP) 14D2026160

Legacy Medical Care Inc · Addison, IL
Active · expires Jun 23, 2027
CLIA Number14D2026160
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJune 24, 2025
Certificate Expiration DateJune 23, 2027
Laboratory DirectorErnest G. Nora
Laboratory Phone(224) 535-7155
Laboratory LocationLegacy Medical Care Inc2055 W Army Trail Rd Suite 104, Addison, IL 60101
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 6

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))
2055 W ARMY TRAIL RD
ADDISON, IL 60101
Dupage County (773) 257-6550
MATERNAL AND CHILD MEDICAL CARE, S.C
Obstetrics & Gynecology
2055 W ARMY TRAIL RD, SUITE 104
ADDISON, IL 60101
Dupage County (847) 650-1452
ALICE MARIE SARTORE APN
Nurse Practitioner (Obstetrics & Gynecology)
2055 W ARMY TRAIL RD
ADDISON, IL 60101
Dupage County (630) 705-1739
ERIN MARIE LASTRES LCPC, CADC
Counselor (Professional)
2055 W ARMY TRAIL RD
ADDISON, IL 60101
Dupage County (630) 580-3190
SARAH MELBY CPNP-PC
Nurse Practitioner (Pediatrics)
2055 W ARMY TRAIL RD
ADDISON, IL 60101
Dupage County (630) 599-5400
LETICIA GARCIA MSN, APRN, FNP-BC
Nurse Practitioner (Family)
2055 W ARMY TRAIL RD
ADDISON, IL 60101
Dupage County (630) 599-5400

Frequently Asked Questions

What is LEGACY MEDICAL CARE INC's NPI number?

The NPI number assigned to this healthcare provider is 1902355316, enumerated as an "organization" on September 26, 2016.

Where is the provider located?

The provider is located at 2055 W ARMY TRAIL RD ADDISON, IL 60101 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).