Organization
CELEBRITY ANESTHESIA OF ILLINOIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX M KOLASCZ MSN (OWNER)
(810) 300-4688
Entity
Organization
Contact information
Practice address
1056 IRWIN AVE, DES PLAINES, IL 60018-2018
(512) 593-1945
Mailing address
917 W WASHINGTON BLVD # 310, CHICAGO, IL 60607-2203
(512) 593-1945
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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