Waukegan Illinois Hospital Company LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

WAUKEGAN ILLINOIS HOSPITAL COMPANY LLC

Practice address

1050 Red Oak LN
Lindenhurst, IL 60046-4998

Phone

(847) 360-3000

NPI assigned

Jan 26, 2007

Organization subpart

Yes

Parent organization

WAUKEGAN HOSPITAL COMPANY LLCAs reported in NPPES

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

Authorized official

Name

Laurie Holtsford

Title

Director, Business Support

Phone

(615) 465-7466

Specialties & licenses 1

Addresses

Other names 1

• Vista Surgery Center Doing business as

Part of

Waukegan Illinois Hospital Company LLC

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227571200000",
    "number": "1508912262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 RED OAK LN",
            "city": "LINDENHURST",
            "state": "IL",
            "postal_code": "600464998",
            "telephone_number": "847-360-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 RED OAK LN",
            "city": "LINDENHURST",
            "state": "IL",
            "postal_code": "600464998",
            "telephone_number": "847-360-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAUKEGAN ILLINOIS HOSPITAL COMPANY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WAUKEGAN HOSPITAL COMPANY LLC",
        "enumeration_date": "2007-01-26",
        "last_updated": "2008-11-25",
        "status": "A",
        "authorized_official_last_name": "HOLTSFORD",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "DIRECTOR, BUSINESS SUPPORT",
        "authorized_official_telephone_number": "615-465-7466"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vista Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelly Maroney Vinson, PA-C
• Walgreen Co
• Walgreen Co.
• Meng Wang, RN
• Waukegan Clinic Corp
• Waukegan Illinois Hospital Company, LLC
• Jeffrey Wells
• Cori Michelle Wiedrich, DC
• Nathan Evan Wiedrich, DC
• Madelyn Alice Wilkinson

• Ambulatory Surgical Clinic/Center in Lindenhurst, IL
• Providers in Lindenhurst, IL by specialty
• Ambulatory Surgical Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2008; 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.