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Organization

SWEDISHAMERICAN HOSPITAL

Active
Other names
SwedishAmerican Sleep Disorder Center
Organization subpart
No

Provider details

NPI number
Authorized official
DON DANIELS (VP)
(815) 966-2084
Entity
Organization

Contact information

Practice address
209 9TH ST, SUITE 301, ROCKFORD, IL 61104-2235
(815) 489-4429
Mailing address
PO BOX 1567, ROCKFORD, IL 61110-0067

Taxonomy

Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
036081657
IL
207RP1001X
Pulmonary Disease Physician
036081657
IL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
036081657
IL

Other

Enumeration date
11/18/2011
Last updated
02/24/2012
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