Organization
STAT ANESTHESIA SPECIALISTS, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL C POLLACHEK RN (ADMINISTRATOR)
(219) 515-6943
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 1C, LANSING, IL 60438-2870
(219) 515-6943
(708) 895-9455
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
01065648A
IN
Other
Enumeration date
11/23/2015
Last updated
11/23/2015
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