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RIVERSIDE MEDICAL CENTER

Medical Equipment Supplier Yellow Pages

Kankakee, Illinois

Provider NPI: 1922164458

Organization Information:
Organization Name:  RIVERSIDE MEDICAL CENTER


Practice Location:
350 N WALL ST  KANKAKEE, IL 60901 US
Tel: 815-933-1671  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y3336H0001XSuppliers
Pharmacy
Home Infusion Therapy Pharmacy
IL980844

Other Provider Identifiers:

IssuerNumberStateType
PERSONAL CARE216396IL01
BLUE SHIELD04630122IL01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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