Organization
FREEDOM ANESTHESIA SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX KOLASCZ CRNA (OWNER)
(810) 300-4688
Entity
Organization
Contact information
Practice address
360 W HUBBARD ST APT 1203, CHICAGO, IL 60654-5748
(810) 300-4688
Mailing address
360 W HUBBARD ST APT 1203, CHICAGO, IL 60654-5748
(810) 300-4688
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
02/11/2019
Last updated
02/11/2019
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