Waukegan Illinois Hospital Company LLC

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

WAUKEGAN ILLINOIS HOSPITAL COMPANY LLC

Practice address

2615 Washington St
Waukegan, IL 60085-4980

Phone

(847) 360-4225

NPI assigned

Jan 16, 2007

Organization subpart

No

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

Authorized official

Name

Tara P Richardson

Title

VP Patient Financial Services

Phone

(615) 221-3672

Specialties & licenses 1

Addresses

Other names 1

• Vista Medical Center West Doing business as

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461888000000",
    "number": "1992856819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 WASHINGTON ST",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600854980"
        },
        {
            "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": "847-360-4225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAUKEGAN ILLINOIS HOSPITAL COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2016-04-29",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "VP PATIENT FINANCIAL SERVICES",
        "authorized_official_telephone_number": "615-221-3672"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vista Medical Center West",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Waukegan Dialysis Associates PTR Kang Yann Lin Gen PTR
• Waukegan Family Family
• Waukegan Hearing Aid Center
• Waukegan Illinois Hospital Company LLC
• Waukegan Illinois Hospital Company LLC
• Waukegan Medical & Rehabilitation
• Waukegan Medical and Rehabilitation
• Waukegan Terrace
• Kathleen K Weber
• Dan P Weckler, CADC

• General Acute Care Hospital in Waukegan, IL
• Providers in Waukegan, IL by specialty
• General Acute Care Hospital in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.