Organization
RIVERSIDE FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETE MULE (EXECUTIVE DIRECTOR)
(847) 634-3973
Entity
Organization
Contact information
Practice address
14588 W HIGHWAY 22, RIVERSIDE FOUNDATION, LINCOLNSHIRE, IL 60069
(847) 634-3973
(847) 634-0227
Mailing address
14588 W HIGHWAY 22, RIVERSIDE FOUNDATION, LINCOLNSHIRE, IL 60069
(847) 634-3973
(847) 634-0227
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
0022988
IL
Other
Enumeration date
07/27/2006
Last updated
08/22/2020
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