Organization
STAT ANESTHESIA SPECIALISTS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER J POLLACHEK CRNA (PRESIDENT)
(708) 805-8900
Entity
Organization
Contact information
Practice address
10220 WICKER AVE, SUITE 3, SAINT JOHN, IN 46373-9424
(219) 515-6943
(708) 895-9455
Mailing address
18221 TORRENCE AVE, SUITE 1B, LANSING, IL 60438-2870
(708) 895-9450
(708) 895-9455
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
64718096
IL
Other
Enumeration date
05/08/2006
Last updated
11/21/2017
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