Organization
RIVERSIDE MEDICAL CENTER
Active
Parent organization
RIVERSIDE MEDICAL CENTER
Other names
Crisis Residential Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
RIVERSIDE MEDICAL CENTER
Authorized official
MR. BILL W DOUGLAS (VICE PRESIDENT AND CFO)
(815) 935-7256
Entity
Organization
Contact information
Practice address
260 S WASHINGTON AVE, KANKAKEE, IL 60901-3729
(815) 935-7256
(815) 935-7490
Mailing address
350 N WALL ST, KANKAKEE, IL 60901-2901
(815) 935-7256
(815) 935-7490
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
0002014
IL
Other
Enumeration date
06/04/2014
Last updated
06/04/2014
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