Organization
ST. MARY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY F SUDICKY (CHIEF FINANCIAL OFFICER)
(219) 942-0551
Entity
Organization
Contact information
Practice address
300 W 80TH PL, STE A, MERRILLVILLE, IN 46410-5456
(219) 738-1736
(219) 738-2482
Mailing address
164 BRACKEN PKWY, HOBART, IN 46342-6789
(219) 947-6780
(219) 947-6778
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200251650G
—
IN
Enumeration date
11/20/2006
Last updated
07/11/2024
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