Organization
SWEDISHAMERICAN HOSPITAL
Active
Other names
SAMG Sycamore
Organization subpart
No
Provider details
NPI number
Authorized official
DON DANIELS (VP)
(815) 966-2084
Entity
Organization
Contact information
Practice address
2540 HAUSER ROSS DR, SUITE 250, SYCAMORE, IL 60178-3148
(779) 696-9529
Mailing address
PO BOX 1567, ROCKFORD, IL 61110-0067
(779) 696-7150
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
05/30/2013
Last updated
08/16/2013
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