Organization
WAUKEGAN ILLINOIS HOSPITAL COMPANY LLC
Active
Parent organization
WAUKEGAN ILLINOIS HOSPITAL COMPANY LLC
Other names
Vista MRI Institute
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAUKEGAN ILLINOIS HOSPITAL COMPANY LLC
Authorized official
GARY NEWSOME (PRESIDENT GROUP OPERATIONS)
(615) 465-7000
Entity
Organization
Contact information
Practice address
60 S GREENLEAF ST, GURNEE, IL 60031-3300
(847) 360-4225
Mailing address
60 S GREENLEAF ST, GURNEE, IL 60031-3300
(847) 360-4225
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
—
IL
261QR0200X
Radiology Clinic/Center
Primary
—
IL
Other
Enumeration date
01/25/2007
Last updated
08/02/2007
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