VISTA CLINIC CORPORATION
NPI 1356432215
Family Medicine in Waukegan, IL

Active since September 27, 2006
1324 N SHERIDAN RD, WAUKEGAN, IL 60085(847) 360-3000 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

  • Organization
  • Family Medicine

About VISTA CLINIC CORPORATION

This page provides the complete NPI Profile along with additional information for Vista Clinic Corporation, a primary care provider established in Waukegan, Illinois operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1356432215 assigned on September 2006. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Vista Clinic Corporation operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Jack Fahey (Manager)

NPI
1356432215 Verify this NPI
Provider Name
VISTA CLINIC CORPORATION
Entity Type
Organization
Location Address
1324 N SHERIDAN RD WAUKEGAN, IL 60085
Location Phone
(847) 360-3000
Mailing Address
1836 LACKLAND HILL PKWY ATTNT: CREDENTIALING DEPARTMENT SAINT LOUIS, MO 63146
Mailing Phone
(314) 989-0300
Mailing Fax
(314) 810-1399
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-27-2006
Last Update Date
09-11-2025
Code Navigator

A primary care provider (PCP) like Vista Clinic Corporation sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

 
22084N0400XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Neurology

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JACK FAHEY

Authorized Official Title
MANAGER
Authorized Official Phone
(847) 360-4065

Reviews for VISTA CLINIC CORPORATION

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pathology (Anatomic Pathology & Clinical Pathology)
1324 N SHERIDAN RD, VISTA MEDICAL CENTER EAST
WAUKEGAN, IL 60085
Anesthesiology
1324 N SHERIDAN RD
WAUKEGAN, IL 60085
Nurse Anesthetist, Certified Registered
1324 N SHERIDAN RD
WAUKEGAN, IL 60085
Anesthesiology
1324 N SHERIDAN RD
WAUKEGAN, IL 60085
Anesthesiology
1324 N SHERIDAN RD
WAUKEGAN, IL 60085
Emergency Medicine
1324 N SHERIDAN RD
WAUKEGAN, IL 60085
Specialist
1324 N SHERIDAN RD
WAUKEGAN, IL 60085
Emergency Medicine
1324 N SHERIDAN RD
WAUKEGAN, IL 60085
Emergency Medicine
1324 N SHERIDAN RD
WAUKEGAN, IL 60085
Dietitian, Registered
1324 N SHERIDAN RD
WAUKEGAN, IL 60085
Dietitian, Registered
1324 N SHERIDAN RD
WAUKEGAN, IL 60085
Hospitalist
1324 N SHERIDAN RD
WAUKEGAN, IL 60085
Nurse Practitioner (Acute Care)
1324 N SHERIDAN RD
WAUKEGAN, IL 60085
Radiology (Diagnostic Radiology)
1324 N SHERIDAN RD, VISTA MEDICAL CENTER
WAUKEGAN, IL 60085
Anesthesiology
1324 N SHERIDAN RD
WAUKEGAN, IL 60085
Dietitian, Registered
1324 N SHERIDAN RD
WAUKEGAN, IL 60085
Radiology (Diagnostic Radiology)
1324 N SHERIDAN RD
WAUKEGAN, IL 60085
Emergency Medicine
1324 N SHERIDAN RD
WAUKEGAN, IL 60085
Nurse Practitioner (Family)
1324 N SHERIDAN RD
WAUKEGAN, IL 60085
Nurse Anesthetist, Certified Registered
1324 N SHERIDAN RD
WAUKEGAN, IL 60085

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356432215, enumerated as an "organization" on September 27, 2006.

The provider is located at 1324 N SHERIDAN RD WAUKEGAN, IL 60085 and the phone number is (847) 360-3000.

Family Medicine with taxonomy code 207Q00000X.