# WAUKEGAN ILLINOIS HOSPITAL COMPANY LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WAUKEGAN HOSPITAL COMPANY LLC
- **Other names:** Vista Surgery Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1508912262
- **Legal business name:** WAUKEGAN HOSPITAL COMPANY LLC
- **Authorized official:** LAURIE HOLTSFORD (DIRECTOR, BUSINESS SUPPORT)
- **Authorized official phone:** (615) 465-7466

## Contact information

- **Practice address:** 1050 RED OAK LN, LINDENHURST, IL 60046-4998
- **Practice address phone:** (847) 360-3000
- **Mailing address:** 1050 RED OAK LN, LINDENHURST, IL 60046-4998
- **Mailing address phone:** (847) 360-3000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | IL | Yes |

## Other

- **Enumeration date:** 01/26/2007
- **Last updated:** 11/25/2008