Organization
SWEDISHAMERICAN HOSPITAL
Active
Other names
BetterLife Wellness
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., LOWER LEVEL A3, ROCKFORD, IL 61104
(779) 696-9700
Mailing address
PO BOX 78866, MILWAUKEE, WI 53278-8866
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
03/13/2017
Last updated
03/09/2020
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