# SWEDISHAMERICAN HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lundholm Orthopedics A Department of SwedishAmerican Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972706851
- **Authorized official:** DON DANIELS (VP)
- **Authorized official phone:** (815) 966-2084

## Contact information

- **Practice address:** 1340 CHARLES ST, SUITE 100, ROCKFORD, IL 61104
- **Practice address phone:** (779) 696-1900
- **Mailing address:** PO BOX 78866, MILWAUKEE, WI 53278-8866

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | — | NULL | — |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | — | — | — |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 06/07/2007
- **Last updated:** 07/12/2018