Organization
VISTA HEALTH
Active
Other names
St. Therese Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BARBARA J. MARTIN (PRESIDENT AND CEO)
(847) 360-3000
Entity
Organization
Contact information
Practice address
2615 WASHINGTON ST, WAUKEGAN, IL 60085-4980
(847) 249-3900
Mailing address
2615 WASHINGTON ST, WAUKEGAN, IL 60085-4980
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
0005348
IL
Other
Enumeration date
05/08/2006
Last updated
08/22/2020
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