Riverside Medical Center

NPI #1780093708 in Kankakee, Illinois

Provider Information

NPI Number: 1780093708
Entity Type: Organization
Organization Name: Riverside Medical Center
Subpart: Yes (part of a larger organization)
Parent Organization: RIVERSIDE MEDICAL CENTER
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Aug 4, 2014
Last Updated: Apr 6, 2016

Practice Location

Address: 1905 W COURT ST
City: Kankakee
State: Illinois
ZIP Code: 60901-3163
Phone: (815) 935-7256

Authorized Official

Name: MR. BILL W DOUGLAS
Title: VICE PRESIDENT AND CFO
Phone: (815) 935-7256

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Acute Care Hospital	282N00000X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

Similar Providers

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Rincon Family Services	Clinic/Center - Mental Health (Including Community Mental Health Center)	Kankakee	AI Deep Dive
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