| Legacy Medical Group | |
|
333 Madison St Joliet IL 60435-8200 | |
| (815) 725-7133 | |
| Not Available |
| Full Name | Legacy Medical Group |
|---|---|
| Speciality | Hospitalist |
| Location | 333 Madison St, Joliet, Illinois |
| Authorized Official Name and Position | Omer Yusaf (MANAGING MEMBER) |
| Authorized Official Contact | 6074258381 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Medical Group 3419 Noble Dr Woodridge IL 60517-1417 Ph: (607) 425-8381 | Legacy Medical Group 333 Madison St Joliet IL 60435-8200 Ph: (815) 725-7133 |
| NPI Number | 1083542013 |
|---|---|
| Provider Enumeration Date | 05/11/2026 |
| Last Update Date | 07/07/2026 |
| Certification Date | 07/07/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083542013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Secondary |
| 208M00000X | Hospitalist | () | Primary |
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