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Swedishamerican Hospital

Thoracic Surgery (Cardiothoracic Vascular Surgery) in Rockford, IL. Organization (NPI-2).

NPI number1356759294
StatusActive
Last updated in NPPESJul 12, 2018

Details

NPI
1356759294
Entity type
Organization (NPI-2)
Legal business name
Swedishamerican Hospital
Organization subpart
No
Enumeration date
Jul 23, 2014
Last updated
Jul 12, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)––Yes
363L00000X Nurse Practitioner––
2080P0202X Pediatrics, Pediatric Cardiology––

Other names

  • Cardiovascular Surgery A Department Of Swedishamerican Hospital (Other Name)

Practice location

1340 Charles St
Suite 300
Rockford, IL 61104

Phone 779-696-8800

Mailing address

Po Box 78866
Milwaukee, WI 53278-8866

Phone 779-696-7342

Authorized official

Don Daniels
Vp
8159662084

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