Riverside Health System

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

RIVERSIDE HEALTH SYSTEM

Practice address

2080 N State Route 50
Bourbonnais, IL 60914-4410

Phone

(815) 936-6012

Fax

(815) 936-7231

NPI assigned

Oct 5, 2011

Last updated

Dec 17, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Richard Schiltz

Title

Director of Finance

Phone

(815) 935-7256

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576540800000",
    "number": "1265716450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609010781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 N STATE ROUTE 50",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609144410",
            "telephone_number": "815-936-6012",
            "fax_number": "815-936-7231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-05",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A",
        "authorized_official_last_name": "SCHILTZ",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "815-935-7256"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Revere Dental
• Richard F. Callahan, LTD.
• Kelly Richter
• Sara Lynn Riegel-Kesner, DC
• Riverside Ambulatory Surgery Center, LLC
• Riverside Medical Center
• Riverside Medical Center
• Riverview Pharmacies Inc (Riverview Pharmacy)
• Riverview Pharmacies Inc (Riverview Pharmacy LTC/Riverview Pharmacy Inc)
• Catina Bessant Robertie, MA, LCPC

• General Practice Physician in Bourbonnais, IL
• Providers in Bourbonnais, IL by specialty
• General Practice Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.