Vista Clinic Corporation
NPI 1356432215 · Family Medicine Physician · Waukegan, IL
Vista Clinic Corporation is a Family Medicine Physician organization in Waukegan, IL (NPI 1356432215).
Provider details
- NPI number
- 1356432215
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jack Fahey, Manager(847) 360-4065
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Neurology Physician2084N0400X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-09-27
- Last updated
- 2025-09-11
Frequently asked questions
- What is Vista Clinic Corporation's NPI number?
- Vista Clinic Corporation's National Provider Identifier (NPI) is 1356432215, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Vista Clinic Corporation?
- Vista Clinic Corporation is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Vista Clinic Corporation located?
- Vista Clinic Corporation's practice location on file with NPPES is 1324 N Sheridan Rd, Waukegan, IL 60085-2161.
- What is Vista Clinic Corporation's phone number?
- The practice phone number listed in the NPPES registry for Vista Clinic Corporation is (847) 360-3000.
- Who is the authorized official for Vista Clinic Corporation?
- The authorized official listed on Vista Clinic Corporation's NPPES record is Jack Fahey, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Vista Clinic Corporation's NPI active?
- Yes — Vista Clinic Corporation's NPI (1356432215) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.