Swedishamerican Hospital

NPI 1225126873

Information of Swedishamerican Hospital

The NPI 1225126873 is an Organization type. NPI No 1225126873 belongs to Swedishamerican Hospital. Swedishamerican Hospital specializes in Nurse Practitioner. is practising at 6824 Newburg Rd, Rockford, Illinois 61108. You can also contact him via phone number (779) 696-7610.

Practice address located

  • 6824 Newburg Rd
  • Rockford, Illinois 61108
  • (779) 696-7610
  • (779) 696-7610

Mailling address located

  • Po Box 1567
  • Rockford, Illinois 61110
  • Not available
  • Not available
NPI No 1225126873
Primary Taxonomy
Authorized Official
Specialty of the provider
PrimaryTaxonomy CodeClassificationLicense NumberLicense State
No363L00000XNurse Practitionern/an/a
Yes207Q00000XFamily Medicinen/an/a
Identifier for this provider
StateIdentifierTypeIssuer
IL077, 010OtherTRICARE SUFFIX #
IL14D0430350OtherCLIA
IL436860Medicare PINn/a
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