Organization
SWEDISHAMERICAN HOSPITAL
Active
Other names
SA Infectious Disease Consultants and Palliative Care Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DON DANIELS (VP)
(815) 966-2084
Entity
Organization
Contact information
Practice address
1340 CHARLES ST STE 404, ROCKFORD, IL 61104
(779) 696-1890
Mailing address
PO BOX 78866, MILWAUKEE, WI 53278-8866
(779) 696-7150
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
12/04/2017
Last updated
10/02/2019
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