# ST. MARGARET MERCY HEALTHCARE CENTERS, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ear Nose and Throat Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811152572
- **Authorized official:** THOMAS GRYZBEK (PRESIDENT)
- **Authorized official phone:** (219) 933-2300

## Contact information

- **Practice address:** 5500 HOHMAN AVENUE, SUITE 2A, HAMMOND, IN 46320-1942
- **Practice address phone:** (219) 852-1505
- **Practice address fax:** (219) 852-1510
- **Mailing address:** PO BOX 1000, DYER, IN 46311-0800
- **Mailing address phone:** (219) 864-2107
- **Mailing address fax:** (219) 864-2649

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | — | NULL | Yes |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/22/2008
- **Last updated:** 09/25/2008