SA STATELINE CLINIC
NPI 1386054062
Family Medicine in Roscoe, IL

Q: What is Swedishamerican Hospital's NPI number?

The NPI number for Swedishamerican Hospital is 1386054062. It was assigned to this organization in the NPPES registry on May 2, 2014. The provider is also known as Sa Stateline Clinic.

Q: What is Swedishamerican Hospital's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since May 02, 2014

4282 E ROCKTON RD, ROSCOE, IL 61073(779) 696-9000 Get Directions Write a Review

NPPES record last updated: July 12, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Sa Stateline Clinic NPPES

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

SA STATELINE CLINIC (NPI 1386054062) is a healthcare organization registered as a family medicine in Roscoe, Illinois and active in the NPI registry since May 2014. The organization lists Don Daniels, Vp, as its authorized official.

NPPES Registry Identity

NPI1386054062

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameSWEDISHAMERICAN HOSPITAL

Location Address4282 E ROCKTON RDRoscoe, IL 61073

Mailing AddressPo Box 78866Milwaukee, WI 53278-8866

Phone(779) 696-9000

Organization SubpartNo

Authorized OfficialDon DanielsVp · (815) 966-2084

Enumeration DateMay 2, 2014

Last NPPES UpdateJuly 12, 2018

✔ NPI 1386054062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ 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 ListedInternal MedicineTaxonomy 207R00000X

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X

Also ListedObstetrics & GynecologyTaxonomy 207V00000X

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X

Also ListedSurgeryTaxonomy 208600000X

Also ListedPodiatristTaxonomy 213E00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

4282 E ROCKTON RD, Roscoe, IL 61073

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Other Names 1

Other NameSa Stateline Clinic

Other Identifiers 1

Other082IL · Tricare Suffix #

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 12

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

SARA GADDINI FNP-C

Nurse Practitioner (Family)