Organization · Type 2 NPI

Riverside Health System

General Practice Physician · Kankakee, IL

NPI number 1417061193 Active

Practice location

1905 W Court St
Kankakee, IL 60901-3163

Call (815) 935-7526 Map

Fax (815) 935-7340

Mailing address

PO Box 781
Kankakee, IL 60901-0781

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XNone 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.

11 other providers at this address

About NPI 1417061193

Riverside Health System's National Provider Identifier is 1417061193, issued on Aug 18, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Kankakee, IL. The record was last updated on Dec 17, 2019.