Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Vista Clinic Corporation

Organization Family Medicine Physician · NPI 1356432215

Vista Clinic Corporation is a Family Medicine Physician in Waukegan, Illinois. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
3

Practice location Address checks out

1324 N Sheridan Rd
Waukegan, IL 60085-2161
Phone: (847) 360-3000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Neurology Physician Taxonomy 2084N0400X

Record details

NPI number1356432215
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jack Fahey — Manager · (847) 360-4065
NPI enumeratedSeptember 27, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address1836 Lackland Hill Pkwy, Attnt: Credentialing Department, Saint Louis, MO 63146-3572

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