| NPI | 1376950485 |
|---|---|
| Other Name | ROCKFORD VASCULAR SURGERY A DEPARTMENT OF SWEDISHAMERICAN HOSPITAL |
| Entity Type | Organization |
| Authorized Contact | DON DANIELS VP 815-966-2084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2018-07-12 |