# EMERGENCY SURGICAL SERVICES OF LAKE COUNTY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740514140
- **Authorized official:** DR. WILLIAM CHARLES WATSON M.D. (PRESIDENT)
- **Authorized official phone:** (224) 513-5239

## Contact information

- **Practice address:** 1870 W WINCHESTER RD, SUITE 112, LIBERTYVILLE, IL 60048-5358
- **Practice address phone:** (224) 513-5239
- **Practice address fax:** (847) 816-7497
- **Mailing address:** 1870 W WINCHESTER RD, SUITE 112, LIBERTYVILLE, IL 60048-5358
- **Mailing address phone:** (224) 513-5239
- **Mailing address fax:** (847) 816-7497

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0127X | Trauma Surgery Physician | — | NULL | Yes |
| 2086S0127X | Trauma Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/01/2009
- **Last updated:** 10/01/2009