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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: August 23, 2026.

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

About Vista Clinic Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VISTA CLINIC CORPORATION (NPI 1356432215) is a healthcare organization registered as a family medicine in Waukegan, Illinois and active in the NPI registry since September 2006. The organization lists Jack Fahey, Manager, as its authorized official.

NPPES Registry Identity

NPI1356432215
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameVISTA CLINIC CORPORATION
Location Address1324 N SHERIDAN RDWaukegan, IL 60085-2161
Mailing Address1836 Lackland Hill Pkwy, Attnt: Credentialing DepartmentSaint Louis, MO 63146-3572 · (314) 989-0300 · Fax (314) 810-1399
Phone(847) 360-3000
Organization SubpartNo
Authorized OfficialJack FaheyManager · (847) 360-4065
Enumeration DateSeptember 27, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1356432215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X
1324 N SHERIDAN RD, Waukegan, IL 60085
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUSAN RUTH JEEP DIETITIAN
Dietitian, Registered
1324 N SHERIDAN RD
WAUKEGAN, IL 60085
Lake County (847) 360-2392
VISTA IMAGING ASSOCIATES SC
Specialist
1324 N SHERIDAN RD
WAUKEGAN, IL 60085
Lake County (847) 360-4189
MRS. AMEE PATEL PA-C
Physician Assistant
1324 N SHERIDAN RD
WAUKEGAN, IL 60085
Lake County (847) 360-4090
SANCTUARY EMERGENCY PHYSICIANS, LLC
Emergency Medicine
1324 N SHERIDAN RD
WAUKEGAN, IL 60085
Lake County (469) 401-2386
KATHLEEN ELIZABETH READY RD
Dietitian, Registered
1324 N SHERIDAN RD
WAUKEGAN, IL 60085
Lake County (847) 360-4333
APP OF ILLINOIS ED PLLC
Emergency Medicine
1324 N SHERIDAN RD
WAUKEGAN, IL 60085
Lake County (847) 360-6930
DR. TOO HYUN PAE M.D.
Anesthesiology
1324 N SHERIDAN RD
WAUKEGAN, IL 60085
Lake County (847) 360-3000
JOSIA NARDA HENRY
Internal Medicine
1324 N SHERIDAN RD
WAUKEGAN, IL 60085
Lake County (847) 360-4111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vista Clinic Corporation's NPI number?

The NPI number for Vista Clinic Corporation is 1356432215. It was assigned to this organization in the NPPES registry on September 27, 2006.

Where is Vista Clinic Corporation located?

Vista Clinic Corporation is located at 1324 N Sheridan Rd, Waukegan, IL 60085. The listed phone number is (847) 360-3000.

What is Vista Clinic Corporation's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Vista Clinic Corporation was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.