Family Medicine
SWEDISHAMERICAN HOSPITAL
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1386054062 · enumerated 2014-05-02 · record updated 2018-07-12. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: DON DANIELS, VP · (815) 966-2084
Other names: SA STATELINE CLINIC
Addresses and phones
- Practice location 4282 E ROCKTON RD, ROSCOE, IL, 61073 (779) 696-9000 Google Maps Apple Maps OpenStreetMap
- Mailing address PO BOX 78866, MILWAUKEE, WI, 53278-8866 Google Maps Apple Maps OpenStreetMap
Specialties
- Internal Medicine 207R00000X
- Internal Medicine, Pulmonary Disease 207RP1001X
- Podiatrist 213E00000X
- Nurse Practitioner 363L00000X
- Obstetrics & Gynecology 207V00000X
- Orthopaedic Surgery 207X00000X
- Surgery 208600000X
- Family Medicine 207Q00000X · Primary
In this directory
Locations and evidence
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Practice location
ROSCOE, IL, 61073
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.