NPI 1265716450

Riverside Health System

Organisation General Practice Physician Bourbonnais, IL

Practice location

Address: 2080 N State Route 50, Bourbonnais, IL 60914-4410
Phone: (815) 936-6012
Fax: (815) 936-7231
Mailing address: PO Box 781, Kankakee, IL 60901-0781

Authorised official

Name: Richard Schiltz
Title: Director of Finance
Phone: (815) 935-7256

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

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Registry record

NPI: 1265716450
Entity type: Organization
NPI issued: 5 Oct 2011
Record last updated: 17 Dec 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.