Swedishamerican Hospital

NPI #1376950485 in Rockford, Illinois

Provider Information

NPI Number: 1376950485
Entity Type: Organization
Organization Name: Swedishamerican Hospital
Primary Specialty: Surgery - Vascular Surgery
Enumeration Date: Jul 21, 2014
Last Updated: Jul 12, 2018

Practice Location

Address: 1340 CHARLES ST STE 200
City: Rockford
State: Illinois
ZIP Code: 61104
Phone: (779) 696-8799

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X
Surgery - Vascular Surgery — Vascular Surgery	2086S0129X	Primary

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