Organization
RIVERSIDE HEALTH SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD SCHILTZ (DIRECTOR OF FINANCE)
(815) 935-7256
Entity
Organization
Contact information
Practice address
2080 N STATE ROUTE 50, BOURBONNAIS, IL 60914-4410
(815) 936-6012
(815) 936-7231
Mailing address
PO BOX 781, KANKAKEE, IL 60901-0781
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/05/2011
Last updated
12/17/2019
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