Riverside Emergency Physicians, LLC

NPI #1548969181 in Kankakee, Illinois

Provider Information

NPI Number: 1548969181
Entity Type: Organization
Organization Name: Riverside Emergency Physicians, LLC
Primary Specialty: Emergency Medicine
Enumeration Date: Mar 2, 2023
Last Updated: Mar 2, 2023

Practice Location

Address: 350 N WALL ST
City: Kankakee
State: Illinois
ZIP Code: 60901-2901
Phone: (815) 933-1671

Authorized Official

Name: KIM LARSEN
Title: DIRECTOR OF CREDENTIALING
Phone: (770) 874-5400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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