Organization
OAKSIDE CORPORATION
Active
Other names
Riverside Health Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUSTIN CALDWELL (DIRECTOR OF RETAIL)
(815) 933-1671
Entity
Organization
Contact information
Practice address
44 MEADOWVIEW CTR, KANKAKEE, IL 60901-2041
(815) 933-5187
(815) 935-7486
Mailing address
44 MEADOWVIEW CTR, KANKAKEE, IL 60901-2041
(815) 933-5187
(815) 935-7486
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4670322
BLUE CROSS BLUE SHIELD
IL
Enumeration date
08/13/2006
Last updated
12/15/2017
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