# RIVERSIDE CORPORATE HEALTH SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366733685
- **Authorized official:** MRS. PAM BALL (CORPORATE HEALTH PROGRAM MANAGER)
- **Authorized official phone:** (815) 935-7263

## Contact information

- **Practice address:** 400 S KENNEDY DR, SUITE 400, BRADLEY, IL 60915-2682
- **Practice address phone:** (815) 935-7532
- **Practice address fax:** (815) 935-7495
- **Mailing address:** 400 S KENNEDY DR, SUITE 400, BRADLEY, IL 60915-2682
- **Mailing address phone:** (815) 935-7532
- **Mailing address fax:** (815) 935-7495

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/20/2011
- **Last updated:** 04/20/2011