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

Riverside Medical Center

Organization Community/Retail Pharmacy · NPI 1447963061

Riverside Medical Center is a Community/Retail Pharmacy in Bourbonnais, Illinois. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
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Practice location Address checks out

100 Fitness Dr
Bourbonnais, IL 60914-9584
Phone: (815) 634-5225
Fax: (779) 701-2280
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X
Specialty Pharmacy Taxonomy 3336S0011X

Record details

NPI number1447963061
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationRiverside Medical Center
Authorized official Patricia Vilt — Cfo · (815) 450-7754
Other names Riverside Specialty Pharmacy
NPI enumeratedDecember 28, 2022
Last updated in NPPESDecember 28, 2022
Certification dateDecember 28, 2022
Mailing address350 N Wall St, Kankakee, IL 60901-2991

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