Waukegan Illinois Hospital Company LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

WAUKEGAN ILLINOIS HOSPITAL COMPANY LLC

Doing business as

Vista MRI Institute

Practice address

60 S Greenleaf St
Gurnee, IL 60031-3300

Phone

(847) 360-4225

NPI assigned

Jan 25, 2007

Last updated

Aug 2, 2007By the provider in NPPES

Organization subpart

Yes

Parent organization

WAUKEGAN ILLINOIS 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

Gary Newsome

Title

President Group Operations

Phone

(615) 465-7000

Specialties & licenses 2

Addresses

Other names 1

• Vista MRI Institute Doing business as

Part of

Waukegan Il Hosp Co LLC

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186012800000",
    "number": "1538215611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 S GREENLEAF ST",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313300",
            "telephone_number": "847-360-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 S GREENLEAF ST",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313300",
            "telephone_number": "847-360-4225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAUKEGAN ILLINOIS HOSPITAL COMPANY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WAUKEGAN ILLINOIS HOSPITAL COMPANY LLC",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-08-02",
        "status": "A",
        "authorized_official_last_name": "NEWSOME",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT GROUP OPERATIONS",
        "authorized_official_telephone_number": "615-465-7000"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vista MRI Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brittany Washington, PT, DPT
• Joy M Watson, PA
• Waukegan Clinic Corp
• Waukegan Hospice, LLC (Star Hospice)
• Waukegan Hospice, LLC (LHC-Illinois Home Health Care)
• April Wazny, MA, LPC
• Daniel Keith Weber, LPC
• Weckler & Associates, LTD
• Robert Wallace Weckler, CSADC, NCAC II
• Jessica Weiland

• Radiology Clinic/Center in Gurnee, IL
• Providers in Gurnee, IL by specialty
• Radiology Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2007; 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.