Active NPI
Teresa Lacek, CRNA
- Certified Registered Nurse Anesthetist
- Dekalb, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209.008841
- Practice address
- 1 Kish Hospital Dr
Dekalb, IL 60115-9602 - Phone
- (815) 756-1521
- NPI assigned
- Jun 22, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 209.008841 | IL | Primary |
Addresses
Primary practice location
1 Kish Hospital Dr
Dekalb, IL 60115-9602
Mailing address
255 W Michigan Ave
Jackson, MI 49201-2218
Phone (800) 242-1131
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
19110 Darvin Dr
Suite a
Mokena, IL 60448-8683
Phone (708) 478-8889
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.008841 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Anesthesia Providers, LTD | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| North American Partners in Anesthesia (Illinois), LLC | Current | Accepting new patients | |
| Valley Pain Care Centers LTD | Current | Accepting new patients | |
| Core Anesthesia PLLC | Current | Accepting new patients | |
| Quantum Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696
3536 W Fullerton Ave
Chicago, IL 60647
Phone (773) 772-1212
4849 W Fullerton Ave
Chicago, IL 60639
Phone (773) 237-2900
10400 Southwest Hwy
Chicago Ridge, IL 60415
Phone (708) 423-8706
1 Kish Hospital Dr
DeKalb, IL 60115
Phone (815) 754-1521
2800 W 95th St
Evergreen Pk, IL 60805
Phone (708) 229-5104
114 W Rockland Rd
Libertyville, IL 60048
Phone (773) 267-0554
19110 Darvin Dr
Mokena, IL 60448
Phone (708) 478-8889
19110 Darvin Dr
Ste A
Mokena, IL 60448
Phone (708) 478-8889
1003 Pawlak Pkwy
New Lenox, IL 60451
Phone (708) 226-3300
14404 John Humphrey Dr
Orland Park, IL 60462
Phone (708) 671-1264
10 Orland Square Dr
Ste 10C
Orland Park, IL 60462
Phone (708) 942-6030
100 5th St
Oswego, IL 60543
Phone (630) 449-0085
7340 W College Dr
Fl 1
Palos Heights, IL 60463
Phone (708) 361-3233
10330 S Roberts Rd
Palos Hills, IL 60465
Phone (708) 237-7200
1879 N Neltnor Blvd
West Chicago, IL 60185
9200 Calumet Ave
Ste 200
Munster, IN 46321
Phone (219) 961-9621
68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Chicago Ridge, IL
- NPI 1689236960
-
- Anesthesiology Physician
- Mokena, IL
- NPI 1679258388
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Oak Park, IL
- NPI 1699032524
-
- Pain Medicine Physician
- Dekalb, IL
- NPI 1194722058
-
- Certified Registered Nurse Anesthetist
- Saint Louis, MO
- NPI 1033546833
IL, Nurse Anesthetist, Certified Registered
-
- Pain Medicine (Anesthesiology) Physician
- Aurora, IL
- NPI 1952308223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308700800000",
"number": "1154617769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 W MICHIGAN AVE",
"city": "JACKSON",
"state": "MI",
"postal_code": "492012218",
"telephone_number": "800-242-1131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 KISH HOSPITAL DR",
"city": "DEKALB",
"state": "IL",
"postal_code": "601159602",
"telephone_number": "815-756-1521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACEK",
"first_name": "TERESA",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-22",
"last_updated": "2011-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209.008841",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dekalb, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.