SAMG MARENGO IMMEDIATE CARE
NPI 1205154440
Family Medicine in Marengo, IL

Active since May 12, 2010
204 E PRAIRIE ST, MARENGO, IL 60152(779) 696-9553 Get Directions Write a Review

NPPES record last updated: June 30, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Samg Marengo Immediate Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMG MARENGO IMMEDIATE CARE (NPI 1205154440) is a healthcare organization registered as a family medicine in Marengo, Illinois and active in the NPI registry since May 2010. The organization lists Don Daniels, Vp, as its authorized official.

NPPES Registry Identity

NPI1205154440
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSWEDISHAMERICAN HOSPITAL
Location Address204 E PRAIRIE STMarengo, IL 60152-3107
Mailing AddressPo Box 1567Rockford, IL 61110-0067
Organization SubpartNo
Authorized OfficialDon DanielsVp · (815) 966-2084
Enumeration DateMay 12, 2010
Last NPPES UpdateJune 30, 2015
NPI 1205154440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedNurse PractitionerTaxonomy 363L00000X
204 E PRAIRIE ST, Marengo, IL 60152

Other Names 1

Other NameSamg Marengo Immediate Care

Other Identifiers 4

Other14D2010270IL · Clia
Medicare PIN436860IL
Medicare NSC0428510026IL
Other=========068IL · Tricare

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
204 E PRAIRIE ST
MARENGO, IL 60152

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205154440, enumerated as an "organization" on May 12, 2010.

The provider is located at 204 E PRAIRIE ST MARENGO, IL 60152 and the phone number is (779) 696-9553.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Medicare, Medicaid and Tricare. Please consult your insurance carrier or call the provider to verify.