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Organization
VISTA HEALTH D/B/A ST. THERESE MEDICAL CENTER
Active
Organization
VISTA HEALTH D/B/A ST. THERESE MEDICAL CENTER
Active
Other names
Star Hospice of Vista Health
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA J. MARTIN (PRESIDENT AND CEO)
(847) 360-3000
Entity
Organization
Contact information
Practice address
99 W GREENWOOD AVE, WAUKEGAN, IL 60087-5136
(847) 360-2220
Mailing address
99 W GREENWOOD AVE, WAUKEGAN, IL 60087-5136
Taxonomy
Speciality
Code
Description
License number
State
315D00000X
Inpatient Hospice
Primary
2002509
IL
Other
Enumeration date
05/09/2006
Last updated
08/22/2020
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