# VISTA HEALTH D/B/A ST. THERESE MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Star Hospice of Vista Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255380101
- **Authorized official:** BARBARA J. MARTIN (PRESIDENT AND CEO)
- **Authorized official phone:** (847) 360-3000

## Contact information

- **Practice address:** 99 W GREENWOOD AVE, WAUKEGAN, IL 60087-5136
- **Practice address phone:** (847) 360-2220
- **Mailing address:** 99 W GREENWOOD AVE, WAUKEGAN, IL 60087-5136

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 315D00000X | Inpatient Hospice | 2002509 | IL | Yes |

## Other

- **Enumeration date:** 05/09/2006
- **Last updated:** 08/22/2020