SAMG MARENGO
NPI 1366769218
Family Medicine in Marengo, IL

Active since April 30, 2010
204 E PRAIRIE ST, MARENGO, IL 60152(779) 696-9553 Get Directions Write a Review

NPPES record last updated: July 30, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Samg Marengo NPPES

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

SAMG MARENGO (NPI 1366769218) is a healthcare organization registered as a family medicine in Marengo, Illinois and active in the NPI registry since April 2010. The organization lists Don Daniels, Vp, as its authorized official.

NPPES Registry Identity

NPI1366769218
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSWEDISHAMERICAN HOSPITAL
Location Address204 E PRAIRIE STMarengo, IL 60152-3107
Mailing AddressPo Box 1567Rockford, IL 61110-0067 · (779) 696-7150
Organization SubpartNo
Authorized OfficialDon DanielsVp · (815) 966-2084
Enumeration DateApril 30, 2010
Last NPPES UpdateJuly 30, 2013
NPI 1366769218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.

204 E PRAIRIE ST, Marengo, IL 60152

Other Names 1

Other NameSamg Marengo

Other Identifiers 2

Medicare PIN436860IL
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 1366769218, enumerated as an "organization" on April 30, 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.