DR. DONALD R LEGAN (NPI# 1467429605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467429605 |
| Entity Type | Individual |
| Full Name | DR. DONALD R LEGAN |
| Credential | EDD |
| Practice Address |
5409 N Knoxville Peoria IL 61614 |
| Practice Telephone | 3096910420 |
| Practice Fax Number | 3096910520 |
| Mailing Telephone | 3096910420 |
| Mailing Fax Number | 3096910520 |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
71002085 | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS | 07220997 | 01 | |
| CHAMPUS | L015956 | 01 |
| Street Address |
5409 N KNOXVILLE |
| City | PEORIA |
| State | IL |
| Zip Code | 61614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992773782 | Michael John Legan | Psychologist | 5409 N Knoxville, Peoria, IL 61614 | 2006-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548818511 | Christine Svoboda | Social Worker | 6919 N Knoxville Ave Ste 100 and 202, Peoria, IL 61614 | 2019-09-03 |
| 1639649007 | Kathy Karouzos Counseling, LLC | Clinic/Center | 330 W. Ivy Ln., Peoria, IL 61614 | 2018-11-28 |
| 1205312790 | Kathleen Marie Hendricks | Nurse Practitioner | 2809 W Willow Knolls Dr, Peoria, IL 61614 | 2018-07-17 |
| 1629563937 | Mary Elizabeth Cunningham | Counselor | 6219 N. Eldorado Dr., Peoria, IL 61614 | 2018-06-28 |
| 1861937955 | Angela Gilles | Social Worker | 6919 N Knoxville Ave Ste 100, Peoria, IL 61614 | 2016-12-27 |
| 1467994897 | Melissa Saxsma | Specialist | 5009 N Executive Dr, Peoria, IL 61614 | 2016-11-16 |
| 1902258874 | Rashid Plastic Surgery, LLC | Plastic Surgery | 804 W Trailcreek Drive, Peoria, IL 61614 | 2016-07-05 |
| 1215313143 | Melissa Lynn Phelan | Nurse Practitioner | 122 E Morningside Dr, Peoria, IL 61614 | 2015-08-03 |
| 1811380165 | All Ways Caring Services, Inc. | In Home Supportive Care | 6919 N Knoxville Ave, Suite 102, Peoria, IL 61614 | 2015-03-11 |
| 1568875920 | Schuler & Arkwell Orthodontic Partnership | Dentist | 2425 Cornerstone Ct. Ste. A, Peoria, IL 61614 | 2014-06-03 |
| Find all providers in zip 61614 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972139251 | Shirley Yang | Psychologist | 9165 W Thunderbird Rd Ste 201, Peoria, AZ 85381-4847 | 2020-03-18 |
| 1619523479 | Emma Kathryn Bucher | Psychologist | 6615 N. Big Hollow Rd, Peoria, IL 61615-2451 | 2019-08-16 |
| 1164076709 | Dawn C Roberts | Psychologist | 4307 W Rustic Hollow Dr, Peoria, IL 61615-2430 | 2019-07-31 |
| 1548624950 | David Francis Adams | Psychologist | 7617 N Villa Wood Ln Ste 1, Peoria, IL 61614-1595 | 2016-04-12 |
| 1780050476 | Kaysha Richards | Psychologist | 14050 N 83rd Ave Ste 290, Peoria, AZ 85381-5650 | 2015-08-17 |
| 1528453826 | Robert Mastikian | Psychologist | 16165 N 83rd Ave Ste 200, Peoria, AZ 85382-5816 | 2015-04-02 |
| 1891122636 | William Barker | Psychologist | 900 Main St Ste 780, Peoria, IL 61602-1067 | 2013-10-10 |
| 1922359629 | Ashurina Ream | Psychologist | 20403 N Lake Pleasant Rd # 117-134, Peoria, AZ 85382-9702 | 2012-09-21 |
| 1093907180 | Amy L Kaminski | Psychologist | 7747 W Deer Valley Rd, Suite 255, Peoria, AZ 85382-2117 | 2007-08-13 |
| 1346462850 | Advanced Behavioral Health P C | Psychologist | 8600 Route 91, North, Suite 240, Peoria, IL 61615 | 2007-05-03 |
| Find all providers in PEORIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.