Swedishamerican Hospital
Internal Medicine, Cardiovascular Disease in Rockford, IL. Organization (NPI-2).
NPI number1154476802
StatusActive
Last updated in NPPESJul 12, 2018
Details
- NPI
- 1154476802
- Entity type
- Organization (NPI-2)
- Legal business name
- Swedishamerican Hospital
- Organization subpart
- No
- Enumeration date
- Jan 24, 2007
- Last updated
- Jul 12, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0000X | Internal Medicine, Cardiovascular Disease | – | – | Yes |
| 207RC0001X | Internal Medicine, Clinical Cardiac Electrophysiology | – | – | |
| 207RI0011X | Internal Medicine, Interventional Cardiology | – | – | |
| 363L00000X | Nurse Practitioner | – | – |
Other names
- Swedishamerican Heart Institute A Department Of Swedishamerican Hosp (Other Name)
Practice location
1340 Charles StSuite 300
Rockford, IL 61104
Phone 779-696-5888
Mailing address
Po Box 78866Milwaukee, WI 53278-8866
Authorized official
Don Daniels
Vp
8159662084
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