Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Riverside Ambulatory Surgery Center, LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1851407373

Riverside Ambulatory Surgery Center, LLC is an Ambulatory Surgical Clinic/Center in Bourbonnais, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

300 Riverside Dr Ste 1100
Bourbonnais, IL 60914-4997
Phone: (815) 802-3170
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X · Licence 7003049 (IL)

Record details

NPI number1851407373
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Teresa Bockover — Clinical Director · (815) 802-3170
NPI enumeratedAugust 21, 2006
Last updated in NPPESAugust 22, 2020
Mailing address300 Riverside Dr Ste 1100, Bourbonnais, IL 60914-4997

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