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RIVERSIDE MEDICAL CENTER
NPI 1780093708
Clinic/Center - Mental Health (Including Community Mental Health Center) in Kankakee, IL

Active since August 04, 2014
1905 W COURT ST, KANKAKEE, IL 60901(815) 935-7256(815) 935-7490 Get Directions Write a Review

NPPES record last updated: April 6, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Riverside Medical Center NPPES

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

RIVERSIDE MEDICAL CENTER (NPI 1780093708) is a healthcare organization registered as a mental health (including community mental health center) in Kankakee, Illinois and active in the NPI registry since August 2014. The organization lists Bill W Douglas, Vice President And Cfo, as its authorized official.

NPPES Registry Identity

NPI1780093708
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameRIVERSIDE MEDICAL CENTER
Location Address1905 W COURT STKankakee, IL 60901-3163
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 DateAugust 4, 2014
Last NPPES UpdateApril 6, 2016
✔ NPI 1780093708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
License✔ Licensed in IL · 0002014
Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X · License 0002014 (IL)
1905 W COURT ST, Kankakee, IL 60901
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Other Providers at the Same Location NPPES 11

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

VICKY LYNN MANSBERGER R.D.
Dietitian, Registered
1905 W COURT ST, ENTRANCE D
KANKAKEE, IL 60901
Kankakee County (815) 935-7256
MS. HEATHER MARIE SPINA LCSW
Social Worker (Clinical)
1905 W COURT ST
KANKAKEE, IL 60901
Kankakee County (815) 933-2240
MRS. AMY HERTZ R.D., L.D.N.
Dietitian, Registered
1905 W COURT ST
KANKAKEE, IL 60901
Kankakee County (815) 936-6515
DELORES P WARD M.S.R.N.
Counselor (Mental Health)
1905 W COURT ST
KANKAKEE, IL 60901
Kankakee County (815) 933-2240
KANKAKEE RADIOLOGY ASSOCIATES, S.C.
Clinic/Center (Radiology)
1905 W COURT ST
KANKAKEE, IL 60901
Kankakee County (815) 935-7525
RIVERSIDE HEALTH SYSTEM
General Practice
1905 W COURT ST
KANKAKEE, IL 60901
Kankakee County (815) 935-7526
OAKSIDE CORPORATION
Clinic/Center (Mental Health (Including Community Mental Health Center))
1905 W COURT ST, ENTRANCE A
KANKAKEE, IL 60901
Kankakee County (815) 933-2240
MS. JULENE S. BOWLEY-VOGEN LCSW
Social Worker (Clinical)
1905 W COURT ST
KANKAKEE, IL 60901
Kankakee County (815) 933-2240

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Riverside Medical Center's NPI number?

The NPI number for Riverside Medical Center is 1780093708. It was assigned to this organization in the NPPES registry on August 4, 2014.

Where is Riverside Medical Center located?

Riverside Medical Center is located at 1905 W Court St, Kankakee, IL 60901. The listed phone number is (815) 935-7256.

What is Riverside Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Riverside Medical Center was last updated on April 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.