Swedishamerican Hospital

NPI #1205154440 in Marengo, Illinois

Provider Information

NPI Number: 1205154440
Entity Type: Organization
Organization Name: Swedishamerican Hospital
Primary Specialty: Family Medicine
Enumeration Date: May 12, 2010
Last Updated: Jun 30, 2015

Practice Location

Address: 204 E PRAIRIE ST
City: Marengo
State: Illinois
ZIP Code: 60152-3107
Phone: (779) 696-9553

Authorized Official

Name: DON DANIELS
Title: VP
Phone: (815) 966-2084

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X
Family Medicine	207Q00000X	Primary

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