Organization
SWEDISHAMERICAN HOSPITAL
Active
Other names
Town Square Centre
Organization subpart
No
Provider details
NPI number
Authorized official
DON DANIELS (VP)
(815) 966-2084
Entity
Organization
Contact information
Practice address
101 W 2ND ST, SUITE 130, DIXON, IL 61021-3076
(815) 288-0071
Mailing address
PO BOX 1567, ROCKFORD, IL 61110-0067
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
05/21/2008
Last updated
02/11/2009
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