Organization
ST. MARGARET MERCY HEALTHCARE CENTERS
Active
Other names
St. Margaret Mercy Anesthesia Group
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES BRODA (CONTROLLER)
(219) 864-2109
Entity
Organization
Contact information
Practice address
5454 S HOHMAN AVE, ST. MARGARET MERCY HEALTHCARE, HAMMOND, IN 46320-1931
(219) 864-2109
Mailing address
520 E 22ND ST, LOMBARD, IL 60148-6110
(630) 874-2542
(630) 874-2642
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
07/27/2006
Last updated
08/22/2020
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