Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Legacy Medical Supply LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1710774534

Legacy Medical Supply LLC is a Durable Medical Equipment & Medical Supplies in Waukegan, Illinois. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1616 Grand Ave Ste 105
Waukegan, IL 60085-3676
Phone: (847) 942-1385
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X

Record details

NPI number1710774534
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cameron Weatherford — Managing Partner · (224) 214-3916
NPI enumeratedApril 23, 2025
Last updated in NPPESMay 1, 2025
Certification dateMay 1, 2025
Mailing address1616 Grand Ave Ste 105, Waukegan, IL 60085-3676

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