Vista Clinic Corporation

NPI #1356432215 in Waukegan, Illinois

Provider Information

NPI Number: 1356432215
Entity Type: Organization
Organization Name: Vista Clinic Corporation
Primary Specialty: Family Medicine
Enumeration Date: Sep 27, 2006
Last Updated: Sep 11, 2025

Practice Location

Address: 1324 N SHERIDAN RD
City: Waukegan
State: Illinois
ZIP Code: 60085-2161
Phone: (847) 360-3000

Authorized Official

Name: JACK FAHEY
Title: MANAGER
Phone: (847) 360-4065

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Psychiatry & Neurology - Neurology — Neurology	2084N0400X
Family Medicine	207Q00000X	Primary

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