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Contact Information

SWEDISHAMERICAN HOSPITAL
1340 CHARLES ST
SUITE 300
ROCKFORD, IL61104
 Phone: 779-696-8800
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Pediatric Cardiology

2080P0202X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for SWEDISHAMERICAN HOSPITAL · (Female)

NPI Number 1356759294
Status Active
Credentials
Entity Individual
Enumeration date 07/23/2014
Last updated 07/12/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL Other 043 TRICARE SUFFIX #
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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