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Organization
SWEDISHAMERICAN HOSPITAL
Active
Organization
SWEDISHAMERICAN HOSPITAL
Active
Other names
SwedishAmerican Regional Cancer Center/ACT
Organization subpart
No
Provider details
NPI number
Authorized official
DON DANIELS (VP)
(815) 966-2084
Entity
Organization
Contact information
Practice address
2473 MCFARLAND RD, ROCKFORD, IL 61107-6824
(815) 986-2286
Mailing address
PO BOX 1567, ROCKFORD, IL 61110-0067
(779) 696-7150
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010122910
BLUE CROSS
IL
01
—
066
TRICARE
IL
Enumeration date
05/14/2010
Last updated
07/30/2013
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