Organization
SWEDISHAMERICAN HOSPITAL
Active
Other names
Loves Park Covid Vaccine Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DON DANIELS (VP)
(815) 966-2084
Entity
Organization
Contact information
Practice address
100 HEART BLVD, LOVES PARK, IL 61111-4785
(779) 696-4400
(779) 696-3995
Mailing address
PO BOX 78866, MILWAUKEE, WI 53278-8866
(779) 696-7150
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/03/2021
Last updated
02/03/2021
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