ST MARGARET MERCY HEALTHCARE CENTERS, INC. (NPI# 1871672014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871672014 |
| Entity Type | Organization |
| Organization Name | ST MARGARET MERCY HEALTHCARE CENTERS, INC. |
| Other Organization Name | SOUTH HOLLAND FAMILY HEALTH CENTER |
| Practice Address |
901 E Sibley Blvd South Holland IL 60473-1166 |
| Mailing Address |
Po Box 1000 Dyer IN 46311-0800 |
| Practice Telephone | 7083338020 |
| Practice Fax Number | 2198642251 |
| Mailing Telephone | 2198642107 |
| Mailing Fax Number | 2198642251 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | THOMAS GRYZBEK (PRESIDENT) |
| Authorized Official Telephone | 2199322300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| X | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| South Holland Family Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245309376 | St Margaret Mercy Healthcare Centers, Inc. | Internal Medicine | 2450 169th St, Hammond, IN 46323-2074 | 2006-11-06 |
| 1184703746 | St Margaret Mercy Healthcare Centers, Inc. | Family Medicine | 3340 E 134th St, Chicago, IL 60633-1539 | 2006-11-03 |
| 1871672451 | St Margaret Mercy Healthcare Centers, Inc. | Family Medicine | 1028 E Steger Rd, Crete, IL 60417-1362 | 2006-11-03 |
| 1295807188 | St Margaret Mercy Healthcare Centers, Inc. | Pediatrics | 24 Joliet St, Physician Pavilion # 302, Dyer, IN 46311-1705 | 2006-11-15 |
| 1124190020 | St Margaret Mercy Healthcare Centers, Inc. | Ophthalmology | 5454 S Hohman Ave, Hammond, IN 46320-1931 | 2006-11-15 |
| 1073685970 | St Margaret Mercy Healthcare Centers, Inc. | Obstetrics & Gynecology | 5454 S Hohman Ave, Hammond, IN 46320-1931 | 2006-11-15 |
| 1801968706 | St Margaret Mercy Healthcare Centers, Inc. | Surgery | 24 Joliet St, Ste 101, Dyer, IN 46311-1705 | 2006-11-15 |
| 1689746000 | St Margaret Mercy Healthcare Centers, Inc. | Family Medicine | 1573 N Cline Ave, Griffith, IN 46319-1567 | 2006-11-14 |
| 1467522870 | St Margaret Mercy Healthcare Centers, Inc. | Obstetrics & Gynecology | 24 Joliet St, Dyer, IN 46311-1705 | 2006-11-09 |
| 1962572370 | St Margaret Mercy Healthcare Centers, Inc. | Pediatrics | 5530 S Hohman Ave, Hammond, IN 46320-1935 | 2006-11-09 |
| Street Address |
901 E SIBLEY BLVD |
| City | SOUTH HOLLAND |
| State | IL |
| Zip Code | 60473-1166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295208254 | Hannah Elizabeth Wolf | Nurse Practitioner | 901 E Sibley Blvd, South Holland, IL 60473-1166 | 2019-01-02 |
| 1770093171 | Sandre Leona Crain | Nurse Practitioner | 901 E Sibley Blvd, South Holland, IL 60473-1166 | 2017-10-11 |
| 1134674989 | Cassandra Lynn Brooks | Registered Nurse | 901 E Sibley Blvd, South Holland, IL 60473-1166 | 2016-08-22 |
| 1912170457 | Christian Community Health Center | Clinic/Center | 901 E Sibley Blvd, South Holland, IL 60473-1166 | 2008-04-04 |
| 1346418423 | Christian Community Home Health Professionals, LLC | Home Health | 901 E Sibley Blvd, South Holland, IL 60473-1166 | 2008-02-12 |
| 1093855835 | Senora Nelson | General Practice | 901 E Sibley Blvd, South Holland, IL 60473-1166 | 2007-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558826453 | Beverly Hadley, Dds P.C. | Dentist | 16282 Prince Drive, South Holland, IL 60473 | 2019-02-05 |
| 1053830828 | Caring Shepherds Health Care Inc | In Home Supportive Care | 15525 South Park Ave, Suite 103b, South Holland, IL 60473 | 2017-09-13 |
| 1972039469 | Dipeeka Patel | Nurse Practitioner | 430 E 162nd St # 487, South Holland, IL 60473 | 2017-05-03 |
| 1134576036 | A&j Transportation LLC | Non-emergency Medical Transport (VAN) | 16610 Langley Ave, South Holland, IL 60473 | 2016-05-20 |
| 1902204902 | Np Prn LLP | Clinic/Center | 16456 Dobson, South Holland, IL 60473 | 2014-12-08 |
| 1033415328 | Twfj Inc | Private Vehicle | 15059 Forestview, South Holland, IL 60473 | 2011-02-03 |
| 1871751396 | Arlene Gardner | Counselor | 16107 Lasalle Street, South Holland, IL 60473 | 2008-05-30 |
| 1952576233 | Harvey Family Center | Voluntary or Charitable | 16247 Wausau Ave., South Holland, IL 60473 | 2008-04-28 |
| 1548452725 | Chirospaaah | Chiropractor | 944 East 162nd St., South Holland, IL 60473 | 2007-08-13 |
| 1033313341 | Myra D Staples | Social Worker | 430 East 167th Street, South Holland, IL 60473 | 2007-06-12 |
| Find all providers in zip 60473 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801279344 | Eagle Healthy Living Inc | Family Medicine | 16057 School St, South Holland, IL 60473-1630 | 2015-07-01 |
| 1194842393 | Family Health Center Physicians, Let | Family Medicine | 17060 S Park Ave, South Holland, IL 60473-3349 | 2007-03-23 |
| 1255476206 | Moving Up Foundation, Inc. | Family Medicine | 520 W Armory Dr, South Holland, IL 60473-2824 | 2007-02-20 |
| 1558372615 | Jerry Lee Jensen | Family Medicine | 15525 S Park Ave, Suite 113, South Holland, IL 60473-1308 | 2006-08-11 |
| 1487623344 | Peter H. Neale Sc | Family Medicine | 16240 Louis Ave, South Holland, IL 60473-2274 | 2006-03-14 |
| 1558349514 | C. Matthew Chelich | Family Medicine | 16240 Prince Dr, South Holland, IL 60473-3233 | 2006-01-09 |
| 1851927446 | Wholebody Visiting Physicians | Family Medicine | 17 E Grandview Dr, South Holland, IL 60473-1099 | 2020-03-16 |
| 1083933261 | Jeffrey W Branta | Family Medicine | 100 W 162nd St, South Holland, IL 60473-2003 | 2010-05-27 |
| 1467685503 | Matt Chelich Ltd | Family Medicine | 16240 Prince Dr, South Holland, IL 60473-3233 | 2009-08-24 |
| 1730114984 | Lakshmi Emory | Family Medicine | 100 W 162nd St, South Holland, IL 60473-2003 | 2006-07-12 |
| Find all providers in SOUTH HOLLAND | ||||
| City | SOUTH HOLLAND |
| Zip Code | 60473 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.