Riverside Foundation

Organization Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1154345676

Riverside Foundation is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Lincolnshire, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in: IL
In the registry since: 2006

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Practice location Address checks out

14588 W Highway 22 Riverside Foundation
Lincolnshire, IL 60069
Phone: (847) 634-3973
Fax: (847) 634-0227

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary)	Taxonomy 320600000X · Licence 0022988 (IL)

Record details

NPI number	1154345676
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Pete Mule — Executive Director · (847) 634-3973
NPI enumerated	July 27, 2006
Last updated in NPPES	August 22, 2020
Mailing address	14588 W Highway 22, Riverside Foundation, Lincolnshire, IL 60069