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Organization

SWEDISHAMERICAN HOSPITAL ASSOCIATION

Active
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Organization

SWEDISHAMERICAN HOSPITAL ASSOCIATION

Active
Other names
Medical Group of SwedishAmerican
Organization subpart
No

Provider details

NPI number
Authorized official
DON DANIELS (VP)
(815) 966-2084
Entity
Organization

Contact information

Practice address
1401 E STATE ST, ROCKFORD, IL 61104-2315
(815) 489-4760
Mailing address
PO BOX 4073, ROCKFORD, IL 61110-0573

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
09/22/2008
Last updated
09/22/2008
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