RIVERSIDE MEDICAL CENTER
NPI 1619144870
Rehabilitation, Substance Use Disorder Unit in Kankakee, IL

Q: What is Riverside Medical Center's NPI number?

The NPI number for Riverside Medical Center is 1619144870. It was assigned to this organization in the NPPES registry on May 15, 2008.

Q: What is Riverside Medical Center's specialty?

The primary specialty registered for this NPI is Rehabilitation, Substance Use Disorder Unit with taxonomy code 276400000X.

Active since May 15, 2008

350 N WALL ST, KANKAKEE, IL 60901(815) 935-7256(815) 935-7490 Get Directions Write a Review

NPPES record last updated: July 28, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Riverside Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RIVERSIDE MEDICAL CENTER (NPI 1619144870) is a healthcare organization registered as a rehabilitation, substance use disorder unit in Kankakee, Illinois and active in the NPI registry since May 2008. The organization lists Bill W Douglas, Vice President And Cfo, as its authorized official.

NPPES Registry Identity

NPI1619144870

Entity TypeOrganization

Primary Taxonomy276400000X

Legal Business NameRIVERSIDE MEDICAL CENTER

Location Address350 N WALL STKankakee, IL 60901-2901

Mailing Address350 N Wall StKankakee, IL 60901-2901 · (815) 935-7256 · Fax (815) 935-7490

Phone(815) 935-7256

Fax(815) 935-7490

Organization SubpartYes

Authorized OfficialBill W DouglasVice President And Cfo · (815) 935-7256

Enumeration DateMay 15, 2008

Last NPPES UpdateJuly 28, 2016

✔ NPI 1619144870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyRehabilitation, Substance Use Disorder UnitHospital Units

Taxonomy Code276400000X

License✔ Licensed in IL · 0002014

Definition

A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.)

Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X · License 0002014 (IL)

Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X · License 0002014 (IL)

Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X · License 0002014 (IL)

Also ListedSubstance Abuse Rehabilitation Facility · Substance Abuse Treatment, ChildrenTaxonomy 3245S0500X · License 0002014 (IL)

350 N WALL ST, Kankakee, IL 60901

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Other Identifiers 1

Medicaid=========009IL

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PRIT SHAH

Anesthesiology