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

Riverside Emergency Physicians, LLC

Organization Emergency Medicine Physician · NPI 1548969181

Riverside Emergency Physicians, LLC is an Emergency Medicine Physician in Kankakee, Illinois. Registered with an NPI since 2023.

In the registry since
2023
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

350 N Wall St
Kankakee, IL 60901-2901
Phone: (815) 933-1671
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X

Record details

NPI number1548969181
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kim Larsen — Director Of Credentialing · (770) 874-5400
NPI enumeratedMarch 2, 2023
Last updated in NPPESMarch 2, 2023
Certification dateMarch 2, 2023
Mailing address5665 New Northside Dr Ste 320, Atlanta, GA 30328-5834

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