Stephanie A Gorham (NPI# 1023239258, PAC ID# 7618015173) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1023239258 |
| PAC ID by PECOS | 7618015173 |
| Professional Enrollment ID | I20091104000153 |
| Full Name | Stephanie A Gorham |
| Organization Legal Name | SWEDISHAMERICAN HOSPITAL |
| Address |
1700 Henry Luckow Ln Belvidere IL 61008-1702 |
| Phone Number | 7796968650 |
| Gender | F |
| Graduation Year | 2006 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5799698346 |
| Number of Group Practice Members | 218 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140228 | SWEDISH AMERICAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1700 Henry Luckow Ln, Belvidere, IL 61008-1702 | 7796968650 | SWEDISHAMERICAN HOSPITAL |
| 2473 Mcfarland Rd, Rockford, IL 61107-6824 | SWEDISHAMERICAN HOSPITAL | |
| 6824 Newburg Rd, Sa Valley, Rockford, IL 61108-4330 | 7796967610 | SWEDISHAMERICAN HOSPITAL |
| Organization Legal Name | SWEDISHAMERICAN HOSPITAL |
| Physicians | 196 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Corrine M Maund | Obstetrics/gynecology | Swedishamerican Hospital | 815 Marchesano Dr, Rockford, IL 61102-3521 |
| Amrutha Mary Mary George | Endocrinology | Swedishamerican Hospital | 1700 Henry Luckow Ln, Belvidere, IL 61008-1702 |
| Syed M Rizvi | Internal Medicine | Swedishamerican Hospital | 2601 N Main St, Sa North Main, Rockford, IL 61103-3110 |
| Lauren A Ives | Family Medicine | Swedishamerican Hospital | 6824 Newburg Rd, Sa Valley, Rockford, IL 61108-4330 |
| Joycelyn L Speight | Radiation Oncology | Swedishamerican Hospital | 3535 N Bell School Rd, Regional Cancer Center, Rockford, IL 61114-6624 |
| Srivani Sridhar | Family Medicine | Swedishamerican Hospital | 230 W Blackhawk Dr, Sa Byron, Byron, IL 61010-8988 |
| Katherine J Coulter | Nurse Practitioner | Swedishamerican Hospital | 380 E Il Route 38, Sa Rochelle, Rochelle, IL 61068-9694 |
| Lawrence A Freeman | Nurse Practitioner | Swedishamerican Hospital | 4282 E Rockton Rd, Sa Stateline Clinic, Roscoe, IL 61073-7420 |
| Geoffrey Tsaras | Infectious Disease | Swedishamerican Hospital | 5665 N Junction Way, Sa Davis Junction, Davis Junction, IL 61020-9433 |
| Jessica E Muccianti | Physician Assistant | Swedishamerican Hospital | 1253 N Alpine Rd, Sa Brookside Specialty Center, Rockford, IL 61107-2201 |
| Street Address |
1700 HENRY LUCKOW LN |
| City | BELVIDERE |
| State | IL |
| Zip | 61008-1702 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amrutha Mary Mary George | Endocrinology | Swedishamerican Hospital | 1700 Henry Luckow Ln, Belvidere, IL 61008-1702 |
| Martin G Butler | Diagnostic Radiology | Radiology Consultants of Rockford Ltd | 1700 Henry Luckow Ln, Belvidere, IL 61008-1702 |
| Diana E Schultz | Nurse Practitioner | Swedishamerican Hospital | 1700 Henry Luckow Ln, Belvidere, IL 61008-1702 |
| Allen D Williams | Internal Medicine | Swedishamerican Hospital | 1700 Henry Luckow Ln, Belvidere, IL 61008-1702 |
| Amanda J Bush | Obstetrics/gynecology | Swedishamerican Hospital | 1700 Henry Luckow Ln, Belvidere, IL 61008-1702 |
| Andrea N Giamalva | Family Medicine | Swedishamerican Hospital | 1700 Henry Luckow Ln, Belvidere, IL 61008-1702 |
| Erica J Hoyer | Nurse Practitioner | Swedishamerican Hospital | 1700 Henry Luckow Ln, Belvidere, IL 61008-1702 |
| Jennifer M Tarvestad | Nurse Practitioner | Swedishamerican Hospital | 1700 Henry Luckow Ln, Belvidere, IL 61008-1702 |
| Hyungmin Kang | Diagnostic Radiology | Radiology Consultants of Rockford Ltd | 1700 Henry Luckow Ln, Belvidere, IL 61008-1702 |
| Mukesh Singh | Cardiovascular Disease (cardiology) | Swedishamerican Hospital | 1700 Henry Luckow Ln, Belvidere, IL 61008-1702 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jacob Flynn | Physical Therapy | Accelerated Rehabilitation Centers Ltd | 1731 Henry Luckow Ln, Belvidere, IL 61008-1702 |
| Perka Guenev | Family Medicine | Rockford Health Physician | 1747 Henry Luckow Ln, Belvidere, IL 61008-1702 |
| Amanda L Ritter | Nurse Practitioner | Swedishamerican Hospital | 1700 Henry Luckow Ln, Belvidere, IL 61008-1702 |
| Anne T Cunningham | Nurse Practitioner | Swedishamerican Hospital | 1700 Henry Luckow Ln, Belvidere, IL 61008-1702 |
| Elizabeth C Zook | Nurse Practitioner | Swedishamerican Hospital | 1700 Henry Luckow Ln, Belvidere, IL 61008-1702 |
| Steven G Mull | Family Medicine | Swedishamerican Hospital | 1700 Henry Luckow Ln, Belvidere, IL 61008-1702 |
| Rockton W Hitt | Family Medicine | Rockford Health Physician | 1747 Henry Luckow Ln, Belvidere, IL 61008-1702 |
| Eric A Cuasay | Diagnostic Radiology | Radiology Consultants of Rockford Ltd | 1700 Henry Luckow Ln, Belvidere, IL 61008-1702 |
| Kimberly M Harris | Nurse Practitioner | Swedishamerican Hospital | 1700 Henry Luckow Ln, Belvidere, IL 61008-1702 |
| Moses Kyobe | Cardiovascular Disease (cardiology) | Swedishamerican Hospital | 1700 Henry Luckow Ln, Belvidere, IL 61008-1702 |
| Find all physicians in zip 61008 | |||
| City | BELVIDERE |
| Zip Code | 61008 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | BELVIDERE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Stephanie A Gorham.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.