# ON-CALL SURGICAL SERVICES,LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SHOWELL SURGICAL SERVICES, P.C.
- **Other names:** Lake County Surgical, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1063605178
- **Legal business name:** SHOWELL SURGICAL SERVICES, P.C.
- **Authorized official:** MR. RONNELL LAVETT SHOWELL I OPA-C/RSA-C (PRESIDENT/CEO)
- **Authorized official phone:** (847) 283-0720

## Contact information

- **Practice address:** 655 ROCKLAND RD, STE\# 205, LAKE BLUFF, IL 60044-1782
- **Practice address phone:** (847) 283-0720
- **Practice address fax:** (847) 283-0723
- **Mailing address:** 655 ROCKLAND RD, STE\# 205, LAKE BLUFF, IL 60044-1782
- **Mailing address phone:** (847) 283-0720
- **Mailing address fax:** (847) 283-0723

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | — | IL | Yes |

## Other

- **Enumeration date:** 08/22/2007
- **Last updated:** 08/22/2007
