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Organization
EMERGENCY SURGICAL SERVICES OF LAKE COUNTY LLC
Active
Organization
EMERGENCY SURGICAL SERVICES OF LAKE COUNTY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM CHARLES WATSON M.D. (PRESIDENT)
(224) 513-5239
Entity
Organization
Contact information
Practice address
1870 W WINCHESTER RD, SUITE 112, LIBERTYVILLE, IL 60048-5358
(224) 513-5239
(847) 816-7497
Mailing address
1870 W WINCHESTER RD, SUITE 112, LIBERTYVILLE, IL 60048-5358
(224) 513-5239
(847) 816-7497
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
—
NULL
2086S0127X
Trauma Surgery Physician
Primary
—
—
Other
Enumeration date
10/01/2009
Last updated
10/01/2009
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