| Vista Clinic Corporation | |
|
1324 N Sheridan Rd Waukegan IL 60085-2161 | |
| (847) 360-3000 | |
| Not Available |
| Full Name | Vista Clinic Corporation |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1324 N Sheridan Rd, Waukegan, Illinois |
| Authorized Official Name and Position | Jack Fahey (MANAGER) |
| Authorized Official Contact | 8473604065 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vista Clinic Corporation 1836 Lackland Hill Pkwy Attnt: Credentialing Department Saint Louis MO 63146-3572 Ph: (314) 989-0300 | Vista Clinic Corporation 1324 N Sheridan Rd Waukegan IL 60085-2161 Ph: (847) 360-3000 |
| NPI Number | 1356432215 |
|---|---|
| Provider Enumeration Date | 09/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356432215 | NPI | - | NPPES |
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