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

Legacy Physiatry Group Illinois, LLC

Organization Internal Medicine Physician · NPI 1467830349

Legacy Physiatry Group Illinois, LLC is an Internal Medicine Physician in Evanston, Illinois. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
6
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

1603 Orrington Ave Ste 600
Evanston, IL 60201-3841
Phone: (972) 372-1663
Fax: (972) 372-1657
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X
Internal Medicine Physician Taxonomy 207R00000X
Cardiovascular Disease Physician Taxonomy 207RC0000X
Pulmonary Disease Physician Taxonomy 207RP1001X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1467830349
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vivek Sastry — President/Ceo · (972) 372-1663
Other names Legacy Physiatry Group
NPI enumeratedMay 12, 2015
Last updated in NPPESMay 12, 2015
Mailing address850 Central Pkwy E, Suite 275, Plano, TX 75074-5561

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