TERESA LACEK

DEKALB, IL
NPI1154617769
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IL  209.008841)
Enumeration Date2011-06-22
Last Update Date2011-06-22
Business Address
-- TERESA LACEK CRNA
1 KISH HOSPITAL DR
DEKALB, IL 60115-9602
Phone number: 815-756-1521
Mailing Address
-- TERESA LACEK CRNA
255 W MICHIGAN AVE
JACKSON, MI 49201-2218
Phone number: 800-242-1131
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