RIVERSIDE HEALTH SYSTEM NPI 1265716450

NPI Information

  • NPI: 1265716450
  • Provider Name: RIVERSIDE HEALTH SYSTEM
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • CLIA Number: 14D2103552
  • Address: 2080 N STATE ROUTE 50
    BOURBONNAIS, IL
    ZIP 60914
  • Phone: (815) 936-6012

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NPI Details

RIVERSIDE HEALTH SYSTEM is a general practice in Bourbonnais, IL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee RIVERSIDE HEALTH SYSTEM NPI is 1265716450. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2080 N STATE ROUTE 50
BOURBONNAIS, IL
ZIP 60914-410
Phone: (815) 936-6012
Fax: (815) 936-7231

The provider's authorized official is Richard Schiltz .
The authorized official title is Director Of Finance and has the following contact phone number (815) 935-7256.

The CLIA number assigned to this NPI record is 14D2103552 - other - cancer trmt ctr with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 10/5/2011 and was last updated on 12/17/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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