VISTA HEALTH SYSTEM (NPI# 1508220989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508220989 |
| Entity Type | Organization |
| Organization Name | VISTA HEALTH SYSTEM |
| Other Organization Name | VISTA CORPORATE HEALTH |
| Practice Address |
2615 Washington St Waukegan IL 60085-4980 |
| Mailing Address |
2018 Adams Ct Gurnee IL 60031-6096 |
| Practice Telephone | 8473602467 |
| Mailing Telephone | 8475028085 |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2016-04-11 |
| Authorized Official Name | DR. RICHARD MARGOLIN (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8472315300 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1800X |
Clinic/Center Specialization: Corporate Health |
209013996 | IL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Vista Corporate Health | Other Name - Individual/Organization |
| Street Address |
2615 WASHINGTON ST |
| City | WAUKEGAN |
| State | IL |
| Zip Code | 60085-4980 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780684670 | Himani D. Dalia | Pathology | 2615 Washington St, St. Therese Medical Center, Waukegan, IL 60085-4980 | 2005-07-21 |
| 1194215137 | Hope Psychiatry Sc | Psychiatry & Neurology | 2615 Washington St, Waukegan, IL 60085-4980 | 2018-05-15 |
| 1497252449 | V Covington, LLC | Psychiatry & Neurology | 2615 Washington St, Waukegan, IL 60085-4980 | 2018-04-06 |
| 1134634116 | V Covington, LLC | Psychiatric Hospital | 2615 Washington St, Waukegan, IL 60085-4980 | 2017-12-12 |
| 1366896631 | Jennifer Luzentales | Nurse Practitioner | 2615 Washington St, Waukegan, IL 60085-4980 | 2016-04-22 |
| 1821463787 | Eva Amber Frasca | Nurse Practitioner | 2615 Washington St, Waukegan, IL 60085-4980 | 2015-12-03 |
| 1932578366 | Wendy Piekarz | Dietitian, Registered | 2615 Washington St, Waukegan, IL 60085-4980 | 2015-09-16 |
| 1497017230 | Anterpreet Dhanoyia | Psychiatry & Neurology | 2615 Washington St, Waukegan, IL 60085-4980 | 2012-06-07 |
| 1386845246 | Bridgid Silvela-bacaling | Nurse Practitioner | 2615 Washington St, Waukegan, IL 60085-4980 | 2007-05-29 |
| 1992856819 | Waukegan Illinois Hospital Company LLC | General Acute Care Hospital | 2615 Washington St, Waukegan, IL 60085-4980 | 2007-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285285189 | Allison Rose Matuszewski | Speech-Language Pathologist | Robbie M. Lightfoot, 1721 N Mcaree Rd, Waukegan, IL 60085 | 2019-09-23 |
| 1164985602 | Kristin Kaprak | Speech-Language Pathologist | Thomas Jefferson Middle School, 600 S. Lewis, Waukegan, IL 60085 | 2019-04-11 |
| 1861972317 | Mitchum Smith | Student in an Organized Health Care Education/Training Program | 2025 Washington Street, Waukegan, IL 60085 | 2018-08-15 |
| 1447702998 | Rachel Martinez | Registered Nurse | 3002 Grand Ave., Waukegan, IL 60085 | 2016-11-01 |
| 1831649250 | Kenneth Caples | Specialist/Technologist | 211 S County St, Waukegan, IL 60085 | 2016-10-10 |
| 1033666490 | Catholic Charities of The Archdiocese of Chicago | Community/Behavioral Health | 671 S. Lewis Ave., Waukegan, IL 60085 | 2016-09-02 |
| 1285007757 | Michael Moore | Counselor | 1113 Greenwood Ave, Waukegan, IL 60085 | 2015-11-05 |
| 1740656503 | Emperatriz Guerra | Counselor | 329 N. Genesee Street, Waukegan, IL 60085 | 2015-08-17 |
| 1992189880 | County of Lake | Clinic/Center | 540 S. Mcalister Ave., Waukegan, IL 60085 | 2015-07-10 |
| 1922406354 | Ebele Okonkwor | Nurse Anesthetist, Certified Registered | 1324 N. Sheridan, Waukegan, IL 60085 | 2014-12-17 |
| Find all providers in zip 60085 | ||||
| Taxonomy Code | 261QC1800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Corporate Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235768433 | Access Health and Wellness Inc | Clinic/Center | 2610 W Balmoral Ave, 505, Chicago, IL 60625-2364 | 2020-04-08 |
| 1518475003 | Wellness Data Solutions LLC | Clinic/Center | 2002 Hedgewood Dr, Bloomington, IL 61704-2423 | 2018-01-18 |
| 1497104095 | Gary M Kohn Md Pa | Clinic/Center | 805 Harper Dr, Algonquin, IL 60102-2000 | 2016-06-06 |
| 1609224211 | Empower Health Services, LLC | Clinic/Center | 4205 Westbrook Dr, Aurora, IL 60504 | 2016-05-25 |
| 1295006336 | A Better Weigh | Clinic/Center | 200 N Michigan Ave, Suite 607, Chicago, IL 60601-5909 | 2012-01-20 |
| 1508163957 | Pathfinder Health | Clinic/Center | 1582 Old Deerfield Rd, Highland Park, IL 60035-3054 | 2011-02-22 |
| 1255594545 | Kishwaukee Corporate Health | Clinic/Center | 3251 Commerce Dr Ste B, Dekalb, IL 60115-7908 | 2008-07-07 |
| 1215018635 | Alexian Brothers Corporate Health Services | Clinic/Center | 1515 W Lake Street, Ste 100, Hanover Park, IL 60133 | 2006-10-19 |
| 1609343763 | Denise Castle | Clinic/Center | 18210 La Grange Rd, Tinley Park, IL 60487-7722 | 2018-10-26 |
| 1831611029 | Wellchoice, Inc. | Clinic/Center | 5250 Old Orchard Rd Ste 300, Skokie, IL 60077-4462 | 2017-07-10 |
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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.