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SWEDISHAMERICAN HOSPITAL NPI 1144382268


NPI Information

NPI: 1144382268
Provider Name: SWEDISHAMERICAN HOSPITAL

Other Name: SA BROOKSIDE SPECIALTY CENTER

Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

Address:
1253 N ALPINE RD
ROCKFORD, IL
ZIP 61107
Phone: (779) 696-9201
Get Directions

SWEDISHAMERICAN HOSPITAL is an endocrinology and diabetes and metabolism internal medicine in Rockford, IL. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. SWEDISHAMERICAN HOSPITAL NPI is 1144382268. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Sa Brookside Specialty Center.

The provider's business location address is:

1253 N ALPINE RD
ROCKFORD, IL
ZIP 61107
Phone: (779) 696-9201

The provider's authorized official is Don Daniels .
The authorized official title is Vp and has the following contact phone number (815) 966-2084.

The enumeration date for this NPI number is 12/14/2006 and was last updated on 7/12/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207YP0228XOtolaryngologyPediatric OtolaryngologyNo
2213E00000XPodiatristNo
3231H00000XAudiologistNo
4363A00000XPhysician AssistantNo
5363L00000XNurse PractitionerNo
6207K00000XAllergy & ImmunologyNo
7207RR0500XInternal MedicineRheumatologyNo
8207Y00000XOtolaryngologyNo
9207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========038OTHERILLINOISTRICARE
214D1001046OTHERILLINOISCLIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.