RIVERSIDE CORPORATE HEALTH SERVICES NPI 1366733685

NPI Information

RIVERSIDE CORPORATE HEALTH SERVICES is an occupational medicine clinic center in Bradley, IL. RIVERSIDE CORPORATE HEALTH SERVICES NPI is 1366733685. The provider is registered as an organization entity type.

The provider's business location address is:

400 S KENNEDY DR
SUITE 400
BRADLEY, IL
ZIP 60915-682
Phone: (815) 935-7532
Fax: (815) 935-7495

The provider's authorized official is Pam Ball .
The authorized official title is Corporate Health Program Manager and has the following contact phone number (815) 935-7263.

The CLIA number assigned to this NPI record is 14D0429314 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/20/2011 and was last updated on 4/20/2011.

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:

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