# SWEDISHAMERICAN HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SA Infectious Disease Consultants and Palliative Care Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255846911
- **Authorized official:** DON DANIELS (VP)
- **Authorized official phone:** (815) 966-2084

## Contact information

- **Practice address:** 1340 CHARLES ST STE 404, ROCKFORD, IL 61104
- **Practice address phone:** (779) 696-1890
- **Mailing address:** PO BOX 78866, MILWAUKEE, WI 53278-8866
- **Mailing address phone:** (779) 696-7150

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/04/2017
- **Last updated:** 10/02/2019