Riverside Medical Center, NPI 1538208210
General Acute Care Hospital in Kankakee, IL, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1538208210
NPI Entity Type Organization
Provider Name Riverside Medical Center
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 350 N Wall St, Kankakee, IL, US
Provider Mailing Address 350 N Wall St, Kankakee, IL, US, 609012901
Is Sole Proprietor? No
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Organization Official

Official Name MR. Bill W Douglas
Official Position VICE PRESIDENT AND CFO
Phone 815-935-7256

Primary Taxonomy

Taxonomy Code

282N00000X

Taxonomy Name General Acute Care Hospital
Classification

General Acute Care Hospital

Group

Hospitals

License No. 0002014
License State IL
Description An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

Business Address

Riverside Medical Center
350 N Wall St

Kankakee, IL, US

Phone: 815-935-7256
Fax: 815-935-7490

Mailing Address

Riverside Medical Center
350 N Wall St
Kankakee, IL, US
ZIP 609012901
Phone: 815-935-7256
Fax: 815-935-7490

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

273Y00000X

Hospital Units

Rehabilitation Unit

0002014 IL No

273R00000X

Hospital Units

Psychiatric Unit

0002014 IL No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
01706 ND MEDICAID 05
0240224 OH MEDICAID 05
100508766 NV MEDICAID 05
262438 OR MEDICAID 05
301547 MN MEDICAID 05
807562900 ID MEDICAID 05
0029751 NJ MEDICAID 05
0585372 IA MEDICAID 05
1400186 NC MEDICAID 05
200012020A OK MEDICAID 05
404727815 MI MEDICAID 05
410575300 MN MEDICAID 05
5532100 SD MEDICAID 05
000256935X GA MEDICAID 05
304727806 MI MEDICAID 05
360 IL BLUE CROSS 01
80489100 WI MEDICAID 05
N193210 KS MEDICAID 05
01300193 KY MEDICAID 05
RIV0186N AL MEDICAID 05
010415909 MO MEDICAID 05
0132100 SD MEDICAID 05
100455080A KS MEDICAID 05
140156B000000 IL SECTION 1011 01
1826 IL RESOLVE, BLUE CROSS 01
366869400 IL DEPT OF LABOR ACS 01
L006923 IL TRICARE 01
142381601 TX MEDICAID 05
3977249 IL AETNA, RESOLVE ONLY 01
026741200 IL BLACK LUNG 01
100038960A IN MEDICAID 05
131841 IL COMPSYCH 01
159332105 AR MEDICAID 05
900587100 FL MEDICAID 05

Other Providers in IL, US

NPI Name Taxonomy Address

1194448480

Dr. Lucas Tanner, Llc

Organization

Clinic/Center

132 Depot St

Gardner, IL

1467077537

NP Rebbecca Camerer

Individual

Family Nurse Practitioner

20733 N Broad St

Carlinville, IL

1306564521

DNP Lindsay Renee Wayne

Individual

Certified Registered Nurse Anesthetist

1740 W Taylor St # 3200w

Chicago, IL

1609378074

LMFT Sara R Gallant

Individual

Marriage & Family Therapist

4709 Golf Rd Ste 1150

Skokie, IL

1790337483

MD Mandeep Kaur Sidhu

Individual

Geriatric Medicine (Internal Medicine) Physician

Ui Health, Graduate Medical Education Office

820 South Wood Street, Suite 100, Mc 675

Chicago, IL

1295259042

FNP Melissa Verdecchia

Individual

Family Nurse Practitioner

400 N Highland Ave

Aurora, IL

1477949014

LCSW Jennifer Anne Murphy

Individual

Clinical Social Worker

527 Illinois Ave

St Charles, IL

1669147302

DR. DMD Kelly Walker

Individual

General Practice Dentistry

101 Fulton St

Wilmington, IL

1609515832

DR. Christopher Alexander Delgado

Individual

Certified Registered Nurse Anesthetist

2233 W Division St

Chicago, IL

1578215752

APRN, FNP-C Amanda Rose Malone

Individual

Nurse Practitioner

251 E Huron St

Chicago, IL

1568007433

LCOC Christina Joly

Individual

Professional Counselor

5537 N Broadway St

Chicago, IL

1124749700

Jonathan Patrick Ruiz

Organization

Surgical Physician Assistant

1900 Light Rd Apt 103

Oswego, IL

1871244426

CSFA Jonathan P Ruiz

Individual

Surgical Physician Assistant

1900 Light Rd Apt 103

Oswego, IL

1679916704

DR. MD Arielle Cimeno

Individual

Transplant Surgery Physician

5841 S Maryland Ave # Mc5206

Chicago, IL

1225789209

Aaa Medical Inc

Organization

Clinical Medical Laboratory

103 W Townline Rd

Vernon Hills, IL

1568642015

DR. PSY.D Iwona Konczak

Individual

Clinical Psychologist

415 W Golf Rd

Suite 4

Arlington Heights, IL

1780257329

Alexi Feiner Child

Individual

Medical Physician Assistant

2403 N Clybourn Ave Apt 3

Chicago, IL

1750006128

Kristine Joy Mique

Individual

Pharmacist

3325 N Main St

Rockford, IL

1568990364

MR. LCSW Christopher Digiovanni

Individual

Clinical Social Worker

201 Park Pl Ste 2

Bourbonnais, IL

1356075873

Julieanne Pojas, Psy.d. & Associates Pllc

Organization

Clinical Psychologist

153 Pointe Dr Unit 106

Northbrook, IL

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