Swedishamerican Hospital
Family Medicine in Belvidere, IL. Organization (NPI-2).
NPI number1164090635
StatusActive
Last updated in NPPESJun 11, 2021
Details
- NPI
- 1164090635
- Entity type
- Organization (NPI-2)
- Legal business name
- Swedishamerican Hospital
- Organization subpart
- No
- Enumeration date
- Jun 11, 2021
- Certification date
- May 27, 2021
- Last updated
- Jun 11, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Other names
- District 100 Wellness Center (Doing Business As)
Practice location
1320 East AveBelvidere, IL 61008-4559
Phone 779-696-3000
Mailing address
Po Box 78866Milwaukee, WI 53278-8866
Phone 779-696-7150
Authorized official
Nicole L Golden
Manager, Revenue Cycle
7796967317
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