Organization · Type 2 NPI
Riverside Health System
General Practice Physician · Bourbonnais, IL
NPI number
1265716450
Active
Practice location
2080 N State Route 50
Bourbonnais, IL 60914-4410
Fax (815) 936-7231
Mailing address
PO Box 781
Kankakee, IL 60901-0781
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
4 other providers at this address
Other general practice physician providers in Bourbonnais
About NPI 1265716450
Riverside Health System's National Provider Identifier is 1265716450, issued on Oct 5, 2011. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Bourbonnais, IL. The record was last updated on Dec 17, 2019.