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.Information from the official NPPES registry record, last updated April 6, 2016.

NPPES Registry Identity

NPI1780093708
Entity TypeOrganization
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
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. How NPI validation works

Primary Specialty

Clinic/Center · Mental Health (Including Community Mental Health Center)

Taxonomy 261QM0801X · Ambulatory Health Care Facilities

Licensed in IL · 0002014

Also Listed

General Acute Care Hospital

Taxonomy 282N00000X · Hospitals

Licensed in IL · 0002014
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.

Clinic/Center (Radiology)
1905 W COURT ST
KANKAKEE, IL 60901
Counselor (Mental Health)
1905 W COURT ST
KANKAKEE, IL 60901
Counselor (Mental Health)
1905 W COURT ST
KANKAKEE, IL 60901
Counselor (Professional)
1905 W COURT ST
KANKAKEE, IL 60901
Dietitian, Registered
1905 W COURT ST, ENTRANCE D
KANKAKEE, IL 60901
Social Worker (Clinical)
1905 W COURT ST
KANKAKEE, IL 60901
Social Worker (Clinical)
1905 W COURT ST
KANKAKEE, IL 60901
Dietitian, Registered
1905 W COURT ST
KANKAKEE, IL 60901
Social Worker (Clinical)
1905 W COURT ST
KANKAKEE, IL 60901
Clinic/Center (Mental Health (Including Community Mental Health Center))
1905 W COURT ST, ENTRANCE A
KANKAKEE, IL 60901
General Practice
1905 W COURT ST
KANKAKEE, IL 60901

Frequently Asked Questions

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

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

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