Organization
ST MARGARET MERCY HEALTHCARE CENTERS, INC.
Active
Other names
St Margaret Mercy Children's Group North
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS GRYZBEK (PRESIDENT)
(219) 932-2300
Entity
Organization
Contact information
Practice address
5454 S HOHMAN AVE, HAMMOND, IN 46320-1931
(219) 933-2042
(219) 864-2649
Mailing address
PO BOX 1000, DYER, IN 46311-0800
(219) 864-2107
(219) 864-2251
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
—
—
208000000X
Pediatrics Physician
—
—
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200159110T
—
IN
Enumeration date
11/15/2006
Last updated
01/07/2010
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