Sa Belvidere Clinic

LBN: Swedishamerican Hospital
Sa Belvidere Clinic is an health care organization with primary practice located at 1700 Henry Luckow Ln , Belvidere IL 61008. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gynecology, Podiatric Medicine & Surgery Service Providers / Podiatrist, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Swedishamerican Hospital can be contacted via phone (779) 696-8650, or through Daniels, Don via phone (815) 966-2084.

Contact Information

Primary practice address
1700 Henry Luckow Ln Belvidere IL 61008
Phone: (779) 696-8650
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Daniels, Don
Phone: (815) 966-2084

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1417018110
LBN Legal business name Swedishamerican Hospital
DBA Doing business as Sa Belvidere Clinic
Authorized official Daniels, Don
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2006
Last updated Jul 12th, 2018 - about 7 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 1417018110 NPPES
Illinois Other 14D0875979 CLIA

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