Vista Health System

Primary specialty

Corporate Health Clinic/CenterTaxonomy code 261QC1800X

License

209013996 Issued in IL

Legal business name

VISTA HEALTH SYSTEM

Practice address

2615 Washington St
Waukegan, IL 60085-4980

Phone

(847) 360-2467

NPI assigned

Apr 11, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Richard Margolin, MD

Title

Medical Director

Phone

(847) 231-5300

Specialties & licenses 1

Addresses

Other names 1

• Vista Corporate Health Other name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460332800000",
    "number": "1508220989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2018 ADAMS CT",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600316096",
            "telephone_number": "847-502-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 WASHINGTON ST",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600854980",
            "telephone_number": "847-360-2467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-11",
        "last_updated": "2016-04-11",
        "status": "A",
        "authorized_official_last_name": "MARGOLIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "847-231-5300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": "IL",
            "license": "209013996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vista Corporate Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Insia Fatema Virji, DMD
• Vision Care Consultants, LTD
• Vista Clinic Corporation
• Vista Health
• Vista Health D/B/a St. Therese Medical Center
• Vista Imaging Associates SC
• Vitalcare Medical SC
• Mia Vongillern
• Victoria Wagner
• Hiba Waheed

• Corporate Health Clinic/Center in Waukegan, IL
• Providers in Waukegan, IL by specialty
• Corporate Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.