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SWEDISHAMERICAN HOSPITAL NPI 1366672958


NPI Information

NPI: 1366672958
Provider Name: SWEDISHAMERICAN HOSPITAL

Other Name: NEUROSURGERY/HEADACHE MEDICINE A DEPARTMENT OF SWEDISHAMERICAN HOSPITA

Classification: Neurological Surgery - 207T00000X
Entity Type: Organization
Address:
1340 CHARLES ST
SUITE 400
ROCKFORD, IL
ZIP 61104
Phone: (779) 696-9512
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SWEDISHAMERICAN HOSPITAL is a neurological surgery in Rockford, IL. The provider is a neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. SWEDISHAMERICAN HOSPITAL NPI is 1366672958. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Neurosurgery/headache Medicine A Department Of Swedishamerican Hospita.

The provider's business location address is:

1340 CHARLES ST
SUITE 400
ROCKFORD, IL
ZIP 61104
Phone: (779) 696-9512

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 7/17/2009 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
1225100000XPhysical TherapistNo
2363A00000XPhysician AssistantNo
3363L00000XNurse PractitionerNo
4207Q00000XFamily MedicineNo
52084N0400XPsychiatry & NeurologyNeurologyNo
6207T00000XNeurological SurgeryYes

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
1062OTHERILLINOISTRICARE

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

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