SWEDISHAMERICAN HOSPITAL NPI 1336306935

NPI Information

  • NPI: 1336306935
  • Provider Name: SWEDISHAMERICAN HOSPITAL
  • Classification: Internal Medicine - 207RH0003X
  • Specialization: Hematology & Oncology
  • Entity Type: Organization
  • Other Name: TOWN SQUARE CENTRE
  • CLIA Number: 14D0429604
  • Address: 101 W 2ND ST
    SUITE 130
    DIXON, IL
    ZIP 61021
  • Phone: (815) 288-0071

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NPI Details

SWEDISHAMERICAN HOSPITAL is a hematology and oncology internal medicine in Dixon, IL. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. SWEDISHAMERICAN HOSPITAL NPI is 1336306935. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Town Square Centre.

The provider's business location address is:

101 W 2ND ST
SUITE 130
DIXON, IL
ZIP 61021-076
Phone: (815) 288-0071

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 CLIA number assigned to this NPI record is 14D0429604 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/21/2008 and was last updated on 2/11/2009.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RH0003XInternal MedicineHematology & OncologyYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1=========59OTHERILLINOISTRICARE
2436860MEDICARE PINILLINOIS

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: 3/30/2025

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