Organization
RIVERSIDE HEALTH SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP KAMBIC (CEO)
(815) 933-1671
Entity
Organization
Contact information
Practice address
1905 W COURT ST, KANKAKEE, IL 60901-3163
(815) 935-7526
(815) 935-7340
Mailing address
PO BOX 781, KANKAKEE, IL 60901-0781
(815) 935-7526
(815) 935-7340
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
08/18/2006
Last updated
12/17/2019
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