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SWEDISHAMERICAN HOSPITAL NPI 1356466312


NPI Information

NPI: 1356466312
Provider Name: SWEDISHAMERICAN HOSPITAL

Other Name: CENTEGRA PHYSICIAN CARE WOODSTOCK

Classification: Pediatrics - 2080P0206X
Entity Type: Organization

Specialization: Pediatric Gastroenterology

Address:
3707 DOTY RD
MEDICAL OFFICE BUILDING 2
WOODSTOCK, IL
ZIP 60098
Phone: (815) 388-2500
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SWEDISHAMERICAN HOSPITAL is a pediatric gastroenterology pediatrics in Woodstock, IL. The provider is a pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. SWEDISHAMERICAN HOSPITAL NPI is 1356466312. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Centegra Physician Care Woodstock.

The provider's business location address is:

3707 DOTY RD
MEDICAL OFFICE BUILDING 2
WOODSTOCK, IL
ZIP 60098-530
Phone: (815) 388-2500

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 3/20/2007 and was last updated on 12/9/2011.


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
12080P0206XPediatricsPediatric GastroenterologyYes

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
1436860MEDICARE PINILLINOIS
2=========050OTHERILLINOISTRICARE

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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