Garland Legacy LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

GARLAND LEGACY LLC

Practice address

1033 South Blvd
Oak Park, IL 60302-2823

Phone

(708) 965-0667

NPI assigned

Jan 4, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Maya GarlandNPI 1376204255

Title

Director

Phone

(708) 925-7672

Specialties & licenses 2

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maya Garland

  • Medical Laboratory Technician
  • Chicago, IL
  • NPI 1376204255
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641859200000",
    "number": "1417618380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 SOUTH BLVD",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603022823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 SOUTH BLVD",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603022823",
            "telephone_number": "708-965-0667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARLAND LEGACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-04",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A",
        "authorized_official_last_name": "GARLAND",
        "authorized_official_first_name": "MAYA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "708-925-7672"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Maya@garlandinc.org",
            "affiliation": "N",
            "address_1": "1033 South Blvd",
            "city": "Oak Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "603022823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Aaron Galvan
• Vearl Dean Galvin Delsol, EDD LCPC
• Daniela Gama, LSW
• Marielle Kalaw Gamo, LCSW
• Azzereya Gardner
• Antanquie Garrett
• Monica J Garrett
• Dennis Garrido Aviles
• Joyce Garside
• Emily Garza, LPC

• Clinical Medical Laboratory in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Clinical Medical Laboratory in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.