| Organization Name: | FRANCISCAN ST MARGARET HEALTH |
| NPI Number: | 1184796088 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | THOMAS GRYZBEK (PRESIDENT) |
| Mailing Address: | 24 Joliet St Dyer |
| State: | IN US |
| Postal Code: | 463111705 |
| Phone Number: | 2198642077 |
| Fax Number: | 2198642649 |
| NPI Enumeration Date: | 11/15/2006 |
| NPI Last Update Date: | 04/02/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |