Organization · Type 2 NPI

Vista Clinic Corporation

Family Medicine Physician · Waukegan, IL

NPI number 1356432215 Active

Practice location

1324 N Sheridan Rd
Waukegan, IL 60085-2161

Call (847) 360-3000 Map

Mailing address

1836 Lackland Hill Pkwy, Attnt: Credentialing Department
St. Louis, MO 63146-3572

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed
Internal Medicine Physician 207R00000XNone listed
Neurology Physician 2084N0400XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

72 other providers at this address

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About NPI 1356432215

Vista Clinic Corporation's National Provider Identifier is 1356432215, issued on Sep 27, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Waukegan, IL. The record was last updated on Sep 11, 2025.