# CELEBRITY ANESTHESIA OF ILLINOIS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578247862
- **Authorized official:** ALEX M KOLASCZ MSN (OWNER)
- **Authorized official phone:** (810) 300-4688

## Contact information

- **Practice address:** 1056 IRWIN AVE, DES PLAINES, IL 60018-2018
- **Practice address phone:** (512) 593-1945
- **Mailing address:** 917 W WASHINGTON BLVD \# 310, CHICAGO, IL 60607-2203
- **Mailing address phone:** (512) 593-1945

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/15/2023
- **Last updated:** 06/15/2023