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Swedishamerican Hospital

Internal Medicine, Endocrinology, Diabetes & Metabolism in Rockford, IL. Organization (NPI-2).

NPI number1144382268
StatusActive
Last updated in NPPESJul 12, 2018

Details

NPI
1144382268
Entity type
Organization (NPI-2)
Legal business name
Swedishamerican Hospital
Organization subpart
No
Enumeration date
Dec 14, 2006
Last updated
Jul 12, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism––Yes
207YP0228X Otolaryngology, Pediatric Otolaryngology––
213E00000X Podiatrist––
231H00000X Audiologist––
363A00000X Physician Assistant––
363L00000X Nurse Practitioner––
207K00000X Allergy & Immunology––
207RR0500X Internal Medicine, Rheumatology––
207Y00000X Otolaryngology––

Other names

  • Sa Brookside Specialty Center (Other Name)

Practice location

1253 N Alpine Rd
Rockford, IL 61107

Phone 779-696-9201

Mailing address

Po Box 78866
Milwaukee, WI 53278-8866

Authorized official

Don Daniels
Vp
8159662084

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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