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
PATRICIA KIM VILT (CFO)
(815) 935-7542
Entity
Organization
Contact information
Practice address
100 FITNESS DR, BOURBONNAIS, IL 60914-9584
(815) 936-6515
(815) 936-6517
Mailing address
350 N WALL ST, KANKAKEE, IL 60901-2901
(815) 935-7256
(815) 935-7490
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
—
—
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
10/07/2022
Last updated
10/07/2022
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