Organization
RIVERSIDE MEDICAL CENTER
Active
Parent organization
RIVERSIDE MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
RIVERSIDE MEDICAL CENTER
Authorized official
PATRICIA KIM VILT (SENIOR VICE PRESIDENT AND CFO)
(815) 935-7542
Entity
Organization
Contact information
Practice address
400 S KENNEDY DR, BRADLEY, IL 60915-2682
(815) 935-7256
Mailing address
350 N WALL ST, KANKAKEE, IL 60901-2901
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
—
—
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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