Organization
RIVERSIDE MEDICAL CENTER
Active
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
MR. BILL W DOUGLAS (VICE PRESIDENT AND CFO)
(815) 935-7256
Entity
Organization
Contact information
Practice address
350 N WALL ST, KANKAKEE, IL 60901-2901
(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
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
0002014
IL
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
Primary
0002014
IL
282N00000X
General Acute Care Hospital
0002014
IL
324500000X
Substance Abuse Rehabilitation Facility
0002014
IL
3245S0500X
Children's Substance Abuse Rehabilitation Facility
0002014
IL
Other
Enumeration date
05/15/2008
Last updated
07/28/2016
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