# GUNDERSEN LUTHERAN MEDICAL CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GUNDERSEN LUTHERAN MEDICAL CENTER INC
- **Other names:** MILWAUKEE RADIOLOGISTS LTD ROCKFORD SITE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1215616628
- **Legal business name:** GUNDERSEN LUTHERAN MEDICAL CENTER INC
- **Authorized official:** KARI B ADANK (CCO)
- **Authorized official phone:** (608) 775-8025

## Contact information

- **Practice address:** 3311 BROOKVIEW RD, ROCKFORD, IL 61107-1424
- **Practice address phone:** (608) 782-7300
- **Mailing address:** 1910 SOUTH AVE, LA CROSSE, WI 54601-5467
- **Mailing address phone:** (608) 782-7300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/13/2023
- **Last updated:** 07/13/2023