WAUKEGAN ILLINOIS HOSPITAL COMPANY LLC (NPI# 1538215611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538215611 |
| Entity Type | Organization |
| Organization Name | WAUKEGAN ILLINOIS HOSPITAL COMPANY LLC |
| Other Organization Name | VISTA MRI INSTITUTE |
| Practice Address |
60 S Greenleaf St Gurnee IL 60031-3300 |
| Practice Telephone | 8473604225 |
| Mailing Telephone | 8473604225 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2007-08-02 |
| Authorized Official Name | GARY NEWSOME (PRESIDENT GROUP OPERATIONS) |
| Authorized Official Telephone | 6154657000 |
| Is Organization Subpart | Y |
| Parent Organization Name | WAUKEGAN ILLINOIS HOSPITAL COMPANY LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
IL | Ambulatory Health Care Facilities | |
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
IL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Vista MRI Institute | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841335932 | Waukegan Illinois Hospital Company LLC | Nutritionist | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 | 2007-02-20 |
| 1508912262 | Waukegan Illinois Hospital Company LLC | Clinic/Center | 1050 Red Oak Ln, Lindenhurst, IL 60046-4998 | 2007-01-26 |
| 1992856819 | Waukegan Illinois Hospital Company LLC | General Acute Care Hospital | 2615 Washington St, Waukegan, IL 60085-4980 | 2007-01-16 |
| 1801947726 | Waukegan Illinois Hospital Company LLC | Psychiatric Unit | 2615 Washington St, Waukegan, IL 60085-4980 | 2007-01-16 |
| 1710038633 | Waukegan Illinois Hospital Company LLC | Rehabilitation Unit | 2615 Washington St, Waukegan, IL 60085-4980 | 2007-01-16 |
| 1639120694 | Waukegan Illinois Hospital Company LLC | General Acute Care Hospital | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 | 2006-05-15 |
| Street Address |
60 S GREENLEAF ST |
| City | GURNEE |
| State | IL |
| Zip Code | 60031-3300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457300311 | Vista Health D/b/a St. Therese Medical Center | Clinical Medical Laboratory | 60 S Greenleaf St, Gurnee, IL 60031-3300 | 2006-05-09 |
| 1144267162 | Steven M. Nydick | Radiology | 60 S Greenleaf St, Gurnee, IL 60031-3300 | 2006-05-31 |
| 1679528251 | Matthew D. Pearce | Radiology | 60 S Greenleaf St, Gurnee, IL 60031-3300 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881174720 | Rockelle Waggoner | Behavioral Analyst | 489 Tanglewood Dr, Gurnee, IL 60031 | 2018-08-20 |
| 1316434376 | Lake County Internal Medicine Assoc LLC | Non-Pharmacy Dispensing Site | 15 Tower Ct., Ste 190, Gurnee, IL 60031 | 2018-04-16 |
| 1588163364 | Advanced Endodontics, PC | Dentist | 103 S. Greenleaf Street, Suite K, Gurnee, IL 60031 | 2018-02-07 |
| 1578081550 | Northshore Medical Consultants, Ltd | Family Medicine | 1425 Hunt Club Rd. #302, Gurnee, IL 60031 | 2017-08-30 |
| 1336678739 | Sarah Beth Fugelseth | Nurse Practitioner | 1445 N Hunt Club Rd Ste 304, Gurnee, IL 60031 | 2017-06-08 |
| 1174079867 | Lifecarepros, LLC | In Home Supportive Care | 223 North Route 21, Gurnee, IL 60031 | 2016-09-01 |
| 1740733195 | Ryan Lee Winslow | Chiropractor | 6021 Washington St, Unit B, Gurnee, IL 60031 | 2016-08-02 |
| 1891129599 | Smart Scan Mri, LLC | Clinic/Center | 350 S. Greenleaf, Suite 401, Gurnee, IL 60031 | 2013-08-29 |
| 1568720076 | Yudelca Romano | Genetic Counselor, MS | 1125 Tri State Parkway, Gurnee, IL 60031 | 2012-05-03 |
| 1558637348 | Laura E Novak | Social Worker | 4212 Old Grand Avenue, Gurnne, IL 60031 | 2012-03-27 |
| Find all providers in zip 60031 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316377682 | Spring View Imaging Center | Clinic/Center | 4343 Old Grand Ave, Suite 205, Gurnee, IL 60031-2767 | 2013-11-22 |
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| 1639731839 | United Providers Inc | Clinic/Center | 9325 S Thomas Ave, Bridgeview, IL 60455-2163 | 2019-07-08 |
| 1861957144 | Rsr Medical | Clinic/Center | 1509 N Western Ave Unit 404, Chicago, IL 60622-1747 | 2019-01-31 |
| 1013429125 | Diagnostic Services LLC | Clinic/Center | 16101 Weber Rd Unit A, Crest Hill, IL 60403-8813 | 2017-10-30 |
| 1285157313 | Midwest Advanced Radiology Center, LLC | Clinic/Center | 11600 S Kedzie Ave Ste G, Merrionette Park, IL 60803-6308 | 2017-07-20 |
| 1063960276 | Mars Healthcare LLC | Clinic/Center | 721 W Highway 22nd, Lake Zurich, IL 60047 | 2016-09-16 |
| 1922456474 | Berwyn Imaging LLC | Clinic/Center | 6728 Cermak Rd, Berwyn, IL 60402-2217 | 2016-05-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.