# VISTA HEALTH SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Vista Corporate Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508220989
- **Authorized official:** DR. RICHARD MARGOLIN MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (847) 231-5300

## Contact information

- **Practice address:** 2615 WASHINGTON ST, WAUKEGAN, IL 60085-4980
- **Practice address phone:** (847) 360-2467
- **Mailing address:** 2018 ADAMS CT, GURNEE, IL 60031-6096
- **Mailing address phone:** (847) 502-8085

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1800X | Corporate Health Clinic/Center | 209013996 | IL | Yes |

## Other

- **Enumeration date:** 04/11/2016
- **Last updated:** 04/11/2016