SAMG BROOKSIDE - NPI 1619039724 - Family Medicine in Rockford, IL

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207Q00000X.

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About Samg Brookside NPPES

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

SAMG BROOKSIDE (NPI 1619039724) is a healthcare organization registered as a family medicine in Rockford, Illinois and active in the NPI registry since December 2006. The organization lists Don Daniels, Vp, as its authorized official.

NPPES Registry Identity

NPI1619039724

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameSWEDISHAMERICAN HOSPITAL

Location Address1215 N ALPINE RDRockford, IL 61107-2201

Mailing AddressPo Box 1567Rockford, IL 61110-0067 · (779) 696-7150

Phone(815) 391-7700

Organization SubpartNo

Authorized OfficialDon DanielsVp · (815) 966-2084

Enumeration DateDecember 14, 2006

Last NPPES UpdateJuly 30, 2013

✔ NPI 1619039724 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 ListedPhysical TherapistTaxonomy 225100000X

1215 N ALPINE RD, Rockford, IL 61107

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Other Names 1

Other NameSamg Brookside

Other Identifiers 2

Other=========002IL · Tricare

Medicare ID-Type Unspecified436860IL · Group

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