NPI 1255380101

Vista Health D/B/A St. Therese Medical Center

Organisation Inpatient Hospice Waukegan, IL

Practice location

Address: 99 W Greenwood Ave, Waukegan, IL 60087-5136
Phone: (847) 360-2220

Authorised official

Name: Barbara J. Martin
Title: President and Ceo
Phone: (847) 360-3000

Registered specialties

Inpatient Hospice Primary

Nursing & Custodial Care Facilities Taxonomy 315D00000X Licence 2002509 (IL)

Other Hospice, Inpatient providers in Illinois →

Registry record

NPI: 1255380101
Entity type: Organization
NPI issued: 9 May 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.