RIVERSIDE FAMILY PRACTICE – Family Medicine Physician, NPI 1154367639

RIVERSIDE FAMILY PRACTICE is a healthcare provider. based in Riverside, Illinois. specializing in Family Medicine Physician. The organization holds a License No. 036084251 (IL). The NPI Number for RIVERSIDE FAMILY PRACTICE is 1154367639

Main info

Organization
Name
RIVERSIDE FAMILY PRACTICE
NPI
1154367639
Phone
(708) 442-0333
Address
105 E BURLINGTON ST
Authorized Official
DR. EDWARD TONG PRESIDENT M.D.
Enumeration Date
21 June 2006
Last Update Date
14 November 2008
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for RIVERSIDE FAMILY PRACTICE

  • 105, East Burlington Street, Riverside, Riverside Township, Cook County, Illinois, 60546, United States

    RIVERSIDE, IL 605462382

    Phone: (708) 442-0333

    Fax: (708) 442-9863

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60546)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for RIVERSIDE FAMILY PRACTICE?
RIVERSIDE FAMILY PRACTICE — NPI 1154367639 — is the standard way to identify this listing.
Is RIVERSIDE FAMILY PRACTICE listed as active for patients and plans?
The listing shows RIVERSIDE FAMILY PRACTICE as active in the NPI system.
What is RIVERSIDE FAMILY PRACTICE's primary classification?
Family Medicine Physician is the headline specialty for RIVERSIDE FAMILY PRACTICE here. Clinical services aligned with this taxonomy classification.
What area does RIVERSIDE FAMILY PRACTICE serve?
RIVERSIDE FAMILY PRACTICE's listing highlights Riverside, Illinois; more addresses can appear in NPPES.
Why does RIVERSIDE FAMILY PRACTICE have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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