Active NPI
Swedishamerican Hospital
- Sleep Medicine (Internal Medicine) Physician
- Rockford, IL
National Provider Identifier
1154698264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Internal Medicine) Physician
- License
- 036081657
- Legal business name
- SWEDISHAMERICAN HOSPITAL
- Practice address
- 209 9TH St
Suite 301
Rockford, IL 61104-2235 - Phone
- (815) 489-4429
- NPI assigned
- Nov 18, 2011
- Organization subpart
- No
National Provider Directory
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NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Don Daniels
- Title
- VP
- Phone
- (815) 966-2084
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Anesthesiology) Physician | 207LC0200X | 036081657 | IL | |
| Pulmonary Disease Physician | 207RP1001X | 036081657 | IL | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 036081657 | IL | Primary |
Addresses
Primary practice location
209 9TH St
Suite 301
Rockford, IL 61104-2235
Mailing address
PO Box 1567
Rockford, IL 61110-0067
Other names 1
- SwedishAmerican Sleep Disorder Center
NPI Registry JSON
{
"created_epoch": "1321574400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1330041600000",
"number": "1154698264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1567",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611100067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 9TH ST",
"address_2": "SUITE 301",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611042235",
"telephone_number": "815-489-4429"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SWEDISHAMERICAN HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2011-11-18",
"last_updated": "2012-02-24",
"status": "A",
"authorized_official_last_name": "DANIELS",
"authorized_official_first_name": "DON",
"authorized_official_title_or_position": "VP",
"authorized_official_telephone_number": "815-966-2084"
},
"taxonomies": [
{
"code": "207LC0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Critical Care Medicine",
"state": "IL",
"license": "036081657",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "IL",
"license": "036081657",
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Sleep Medicine",
"state": "IL",
"license": "036081657",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SwedishAmerican Sleep Disorder Center",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.