Organization
FRANCISCAN ST MARGARET HEALTH
Active
Parent organization
FRANCISCAN ALLIANCE, INC.
Other names
St Margaret Mercy ER Physcians
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRANCISCAN ALLIANCE, INC.
Authorized official
THOMAS GRYZBEK (PRESIDENT)
(219) 932-2300
Entity
Organization
Contact information
Practice address
24 JOLIET ST, DYER, IN 46311-1705
(219) 864-2077
(219) 864-2649
Mailing address
24 JOLIET ST, DYER, IN 46311-1705
(219) 865-2141
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200236820B
—
IN
01
—
90001358
BCBSIL
IL
Enumeration date
11/15/2006
Last updated
04/02/2013
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