Organization
VISTA HEALTH SYSTEM
Active
Other names
Vista Corporate Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD MARGOLIN MD (MEDICAL DIRECTOR)
(847) 231-5300
Entity
Organization
Contact information
Practice address
2615 WASHINGTON ST, WAUKEGAN, IL 60085-4980
(847) 360-2467
Mailing address
2018 ADAMS CT, GURNEE, IL 60031-6096
(847) 502-8085
Taxonomy
Speciality
Code
Description
License number
State
261QC1800X
Corporate Health Clinic/Center
Primary
209013996
IL
Other
Enumeration date
04/11/2016
Last updated
04/11/2016
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