Riverside Medical Center

NPI #1982093837 in Kankakee, Illinois

Provider Information

NPI Number
1982093837
Entity Type
Organization
Organization Name
Riverside Medical Center
Subpart
Yes (part of a larger organization)
Parent Organization
RIVERSIDE MEDICAL CENTER
Primary Specialty
Psychiatric Unit
Enumeration Date
Jan 15, 2015
Last Updated
Jan 15, 2015

Practice Location

Address
350 N WALL ST
ZIP Code
60901-2901
Phone
(815) 935-7256

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Psychiatric Unit

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