Organization
SWEDISHAMERICAN HOSPITAL
Active
Other names
Centegra OB GYN
Organization subpart
No
Provider details
NPI number
Authorized official
DON DANIELS (VP)
(815) 966-2084
Entity
Organization
Contact information
Practice address
3703 DOTY RD, SUITE 1, WOODSTOCK, IL 60098
(815) 337-2875
Mailing address
PO BOX 78866, MILWAUKEE, WI 53278-8866
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
IL
Other
Enumeration date
10/26/2011
Last updated
07/12/2018
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