Whalio Doctors

NPI 1619144870

Riverside Medical Center

Organisation Substance Use Disorder Rehabilitation Hospital Unit Kankakee, IL

Practice location

Address
350 N Wall St, Kankakee, IL 60901-2901
Phone
(815) 935-7256
Fax
(815) 935-7490

Authorised official

Name
Bill W Douglas
Title
Vice President and Cfo
Phone
(815) 935-7256

Registered specialties (5)

Substance Use Disorder Rehabilitation Hospital Unit Primary
Hospital Units Taxonomy 276400000X Licence 0002014 (IL)
Substance Use Disorder Rehabilitation Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QR0405X Licence 0002014 (IL)
General Acute Care Hospital
Hospitals Taxonomy 282N00000X Licence 0002014 (IL)
Substance Abuse Rehabilitation Facility
Residential Treatment Facilities Taxonomy 324500000X Licence 0002014 (IL)
Children's Substance Abuse Rehabilitation Facility
Residential Treatment Facilities Taxonomy 3245S0500X Licence 0002014 (IL)

Registry record

NPI
1619144870
Entity type
Organization
NPI issued
15 May 2008
Record last updated
28 Jul 2016

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.