Organization
SWEDISHAMERICAN HOSPITAL
Active
Other names
Center for Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
DON DANIELS (VP)
(815) 966-2084
Entity
Organization
Contact information
Practice address
1415 E STATE ST, SUITE 900, ROCKFORD, IL 61104-2333
(815) 489-4183
Mailing address
PO BOX 1567, ROCKFORD, IL 61110-0067
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
01/24/2007
Last updated
09/09/2011
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