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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: July 19, 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


The following 11 providers are registered at the same or a nearby location.

KANKAKEE RADIOLOGY ASSOCIATES, S.C.
Clinic/Center (Radiology)
1905 W COURT ST
KANKAKEE, IL 60901
Kankakee County (815) 935-7525
MR. HERBERT LEON STRICKLIN LCPC
Counselor (Mental Health)
1905 W COURT ST
KANKAKEE, IL 60901
Kankakee County (815) 933-2240
DELORES P WARD M.S.R.N.
Counselor (Mental Health)
1905 W COURT ST
KANKAKEE, IL 60901
Kankakee County (815) 933-2240
WENDY S. CRAYS LCPC
Counselor (Professional)
1905 W COURT ST
KANKAKEE, IL 60901
Kankakee County (815) 936-7373
VICKY LYNN MANSBERGER R.D.
Dietitian, Registered
1905 W COURT ST, ENTRANCE D
KANKAKEE, IL 60901
Kankakee County (815) 935-7256
MS. JULENE S. BOWLEY-VOGEN LCSW
Social Worker (Clinical)
1905 W COURT ST
KANKAKEE, IL 60901
Kankakee County (815) 933-2240
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
MARY SUSAN TATE L.C.S.W.
Social Worker (Clinical)
1905 W COURT ST
KANKAKEE, IL 60901
Kankakee County (815) 933-2240
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
RIVERSIDE HEALTH SYSTEM
General Practice
1905 W COURT ST
KANKAKEE, IL 60901
Kankakee County (815) 935-7526

Frequently Asked Questions

What is RIVERSIDE MEDICAL CENTER's NPI number?

The NPI number assigned to this healthcare provider is 1780093708, enumerated as an "organization" on August 04, 2014.

Where is the provider located?

The provider is located at 1905 W COURT ST KANKAKEE, IL 60901 and the phone number is (815) 935-7256.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).