| Riverview Physicians, S.c. | |
|
70 Meadowview Ctr Suite 300 Kankakee IL 60901-2047 | |
| (815) 935-1100 | |
| (815) 937-5966 |
| Full Name | Riverview Physicians, S.c. |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 70 Meadowview Ctr, Kankakee, Illinois |
| Authorized Official Name and Position | Nusrat Ali Khan (CO-OWNER) |
| Authorized Official Contact | 8159351100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverview Physicians, S.c. 70 Meadowview Ctr Suite 300 Kankakee IL 60901-2047 Ph: (815) 935-1100 | Riverview Physicians, S.c. 70 Meadowview Ctr Suite 300 Kankakee IL 60901-2047 Ph: (815) 935-1100 |
| NPI Number | 1629180666 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629180666 | NPI | - | NPPES |
| DD6862 | Other | IL | RAILROAD MEDICARE |
| 04632072 | Other | IL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Primary |
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