Riverside Foundation
NPI #1154345676 in Lincolnshire, Illinois
Provider Information
- NPI Number
- 1154345676
- Entity Type
- Organization
- Organization Name
- Riverside Foundation
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Jul 27, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 14588 W HIGHWAY 22
- Address 2
- RIVERSIDE FOUNDATION
- City
- Lincolnshire
- State
- Illinois
- ZIP Code
- 60069
- Phone
- (847) 634-3973
Authorized Official
- Name
- MR. PETE MULE
- Title
- EXECUTIVE DIRECTOR
- Phone
- (847) 634-3973
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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