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Organization

SWEDISHAMERICAN HOSPITAL

Active
Other names
SAMG Camelot OB/GYN
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 200, ROCKFORD, IL 61104-2333
(815) 489-4551
Mailing address
PO BOX 1567, ROCKFORD, IL 61110-0067
(779) 696-7150

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary

Other

Enumeration date
12/20/2006
Last updated
07/30/2013
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