Provider Demographics
NPI:1023568060
Name:CD LEGRANDE LTD.
Entity Type:Organization
Organization Name:CD LEGRANDE LTD.
Other - Org Name:CD LEGRANDE, LTD.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LAHEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-543-8881
Mailing Address - Street 1:1100 E WASHINGTON ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:GRAYSLAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60030-7963
Mailing Address - Country:US
Mailing Address - Phone:847-543-8881
Mailing Address - Fax:847-548-8229
Practice Address - Street 1:1100 E WASHINGTON ST
Practice Address - Street 2:SUITE 202
Practice Address - City:GRAYSLAKE
Practice Address - State:IL
Practice Address - Zip Code:60030-7963
Practice Address - Country:US
Practice Address - Phone:847-543-8881
Practice Address - Fax:847-548-8229
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-13
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILHF110443253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care