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
1905 W COURT ST, KANKAKEE, IL 60901-3163
(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
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
0002014
IL
282N00000X
General Acute Care Hospital
0002014
IL
Other
Enumeration date
08/04/2014
Last updated
04/06/2016
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