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

Riverside Medical Center

Organization Diabetes Educator Registered Nurse · NPI 1912622499

Riverside Medical Center is a Diabetes Educator Registered Nurse in Bourbonnais, Illinois. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2

Practice location Address checks out

100 Fitness Dr
Bourbonnais, IL 60914-9584
Phone: (815) 936-6515
Fax: (815) 936-6517
Show map & directions

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

Specialties & licences

Health Educator (primary) Taxonomy 174H00000X
Diabetes Educator Registered Nurse Taxonomy 163WD0400X

Record details

NPI number1912622499
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationRiverside Medical Center
Authorized official Patricia Vilt — Cfo · (815) 935-7542
NPI enumeratedOctober 7, 2022
Last updated in NPPESOctober 7, 2022
Certification dateSeptember 30, 2022
Mailing address350 N Wall St, Kankakee, IL 60901-2901