# SWEDISHAMERICAN HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SA Freeport Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902134281
- **Authorized official:** DON DANIELS (VP)
- **Authorized official phone:** (815) 966-2084

## Contact information

- **Practice address:** 1036 W STEPHENSON ST, FREEPORT, IL 61032
- **Practice address phone:** (877) 277-6770
- **Mailing address:** PO BOX 78866, MILWAUKEE, WI 53278-8866

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |
| 207RP1001X | Pulmonary Disease Physician | — | NULL | — |
| 207RP1001X | Pulmonary Disease Physician | — | — | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | — |

## Other

- **Enumeration date:** 11/25/2009
- **Last updated:** 07/12/2018