| Vista Medical Center West | |
|
2615 Washington St Waukegan IL 60085-4980 | |
| (847) 360-4225 | |
| (847) 249-8747 |
| Full Name | Vista Medical Center West |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 2615 Washington St, Waukegan, Illinois |
| Authorized Official Name and Position | Tara P Richardson (VP PATIENT FINANCIAL SERVICES) |
| Authorized Official Contact | 6152213672 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vista Medical Center West 2615 Washington St Waukegan IL 60085-4980 Ph: (847) 360-4225 | Vista Medical Center West 2615 Washington St Waukegan IL 60085-4980 Ph: (847) 360-4225 |
| NPI Number | 1801947726 |
|---|---|
| Provider Enumeration Date | 01/16/2007 |
| Last Update Date | 04/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801947726 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (Illinois) | Primary |
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Truth Youth & Family Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2504 Washington St., 300 B/c, Waukegan, IL 60085 Phone: 224-489-7773 | |
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