| Midwest Bariatric Institute@ Saint Margaret Mercy | |
|
24 Joliet St Unit 302 Dyer IN 46311-1705 | |
| (219) 852-2518 | |
| (219) 864-2156 |
| Full Name | Midwest Bariatric Institute@ Saint Margaret Mercy |
|---|---|
| Speciality | Surgery |
| Location | 24 Joliet St, Dyer, Indiana |
| Authorized Official Name and Position | Thomas Gryzbek (PRESIDENT) |
| Authorized Official Contact | 2199322300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Bariatric Institute@ Saint Margaret Mercy Po Box 1000 Dyer IN 46311-0800 Ph: (219) 864-2107 | Midwest Bariatric Institute@ Saint Margaret Mercy 24 Joliet St Unit 302 Dyer IN 46311-1705 Ph: (219) 852-2518 |
| NPI Number | 1487726378 |
|---|---|
| Provider Enumeration Date | 11/15/2006 |
| Last Update Date | 11/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487726378 | NPI | - | NPPES |
| 90000854 | Other | IL | BCBC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 208600000X | Surgery | (* (Not Available)) | Primary |
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