# CORE ANESTHESIA PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1689236960
- **Authorized official:** TERESA LACEK CRNA (OWNER)
- **Authorized official phone:** (800) 444-6110

## Contact information

- **Practice address:** 10400 SOUTHWEST HWY, CHICAGO RIDGE, IL 60415-1367
- **Practice address phone:** (708) 581-7308
- **Practice address fax:** (708) 851-7309
- **Mailing address:** PO BOX 70, LAKE FOREST, IL 60045-0070
- **Mailing address phone:** (847) 457-3800

## Taxonomy

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

## Other

- **Enumeration date:** 07/08/2019
- **Last updated:** 07/08/2019