Active NPI
Legacy Medical Group
- Hospitalist Physician
- Joliet, IL
National Provider Identifier
1083542013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- Legal business name
- LEGACY MEDICAL GROUP
- Practice address
- 333 Madison St
Joliet, IL 60435-8200 - Phone
- (815) 725-7133
- NPI assigned
- May 11, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Omer Yusaf, MD
- Title
- Managing Member
- Phone
- (607) 425-8381
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Hospitalist Physician | 208M00000X | Primary |
Addresses
Primary practice location
333 Madison St
Joliet, IL 60435-8200
Mailing address
3419 Noble Dr
Woodridge, IL 60517-1417
Phone (607) 425-8381
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778457600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783382400000",
"number": "1083542013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3419 NOBLE DR",
"city": "WOODRIDGE",
"state": "IL",
"postal_code": "605171417",
"telephone_number": "607-425-8381",
"fax_number": "815-205-4561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 MADISON ST",
"city": "JOLIET",
"state": "IL",
"postal_code": "604358200",
"telephone_number": "815-725-7133"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEGACY MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2026-05-11",
"last_updated": "2026-07-07",
"certification_date": "2026-07-07",
"status": "A",
"authorized_official_last_name": "YUSAF",
"authorized_official_first_name": "OMER",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "607-425-8381",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Hospitalist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Joliet, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.