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RIVERSIDE HEALTH SYSTEM NPI 1417061193


NPI Information

NPI: 1417061193
Provider Name: RIVERSIDE HEALTH SYSTEM
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
1905 W COURT ST
KANKAKEE, IL
ZIP 60901
Phone: (815) 935-7526
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RIVERSIDE HEALTH SYSTEM is a general practice in Kankakee, IL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee RIVERSIDE HEALTH SYSTEM NPI is 1417061193. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1905 W COURT ST
KANKAKEE, IL
ZIP 60901-163
Phone: (815) 935-7526
Fax: (815) 935-7340

The provider's authorized official is Phillip Kambic .
The authorized official title is Ceo and has the following contact phone number (815) 933-1671.

The enumeration date for this NPI number is 8/18/2006 and was last updated on 12/17/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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