Legacy Healthcare Services Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

LEGACY HEALTHCARE SERVICES INC

Doing business as

Legacy Healthcare

Practice address

605 S Edward Dr
Romeoville, IL 60446-6507

Phone

(630) 863-7772

Fax

(630) 863-7772

NPI assigned

Sep 5, 2006

Organization subpart

No

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

Authorized official

Name

William G Wilson Jr.

Title

Cfo

Phone

(910) 424-5080

Specialties & licenses 3

Addresses

Other names 1

• Legacy Healthcare Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Legacy Healthcare Services Inc

  dba Legacy Rehabilitation Services, Inc.

  • Physical Therapist
  • Spring, TX
  • NPI 1669561726

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658448000000",
    "number": "1952403339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HORIZON DR STE 310",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276154926",
            "telephone_number": "910-724-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 S EDWARD DR",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "604466507",
            "telephone_number": "630-863-7772",
            "fax_number": "630-863-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY HEALTHCARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-05",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "910-424-5080",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Legacy Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Laszczak
• Lauren Wojcik McNicholas, O.D., P.C.
• Therese M Lawrence, LCPC
• Lea Institute Inc. (Master the Body)
• Jane Lee, PHARMD
• Emill B Lezondra, PHARMD
• Arielle Lipetz
• Alexi Morgan Littmann
• Donna Lordi, LPC
• Loving Grace Home Health Inc

• Physical Therapist in Romeoville, IL
• Providers in Romeoville, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.