Sa Brookside Specialty Center

LBN: Swedishamerican Hospital
Sa Brookside Specialty Center is an health care organization with primary practice located at 1253 N Alpine Rd , Rockford IL 61107. The organization recently has 9 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Rheumatology, Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Pediatric Otolaryngology, Podiatric Medicine & Surgery Service Providers / Podiatrist, Speech, Language and Hearing Service Providers / Audiologist, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is the primary health care specialty. Swedishamerican Hospital can be contacted via phone (779) 696-9201, or through Daniels, Don via phone (815) 966-2084.

Contact Information

Primary practice address
1253 N Alpine Rd Rockford IL 61107
Phone: (779) 696-9201
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Daniels, Don
Phone: (815) 966-2084

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X
Allopathic & Osteopathic Physicians / Pediatric Otolaryngology 207YP0228X
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X
Speech, Language and Hearing Service Providers / Audiologist 231H00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1144382268
LBN Legal business name Swedishamerican Hospital
DBA Doing business as Sa Brookside Specialty Center
Authorized official Daniels, Don
Entity Organization
Organization subpart 1 No
Enumeration date Dec 14th, 2006
Last updated Jul 12th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144382268 NPPES
Illinois Other 14D1001046 CLIA

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