Organization
RIVERVIEW PHYSICIANS, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NUSRAT ALI KHAN MD (CO-OWNER)
(815) 935-1100
Entity
Organization
Contact information
Practice address
70 MEADOWVIEW CTR, SUITE 300, KANKAKEE, IL 60901-2047
(815) 935-1100
(815) 937-5966
Mailing address
70 MEADOWVIEW CTR, SUITE 300, KANKAKEE, IL 60901-2047
(815) 935-1100
(815) 937-5966
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04632072
BLUE CROSS BLUE SHIELD
IL
01
—
DD6862
RAILROAD MEDICARE
IL
Enumeration date
08/31/2006
Last updated
09/11/2025
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