Organization
ON-CALL SURGICAL SERVICES,LLC
Active
Parent organization
SHOWELL SURGICAL SERVICES, P.C.
Other names
Lake County Surgical, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHOWELL SURGICAL SERVICES, P.C.
Authorized official
MR. RONNELL LAVETT SHOWELL I OPA-C/RSA-C (PRESIDENT/CEO)
(847) 283-0720
Entity
Organization
Contact information
Practice address
655 ROCKLAND RD, STE# 205, LAKE BLUFF, IL 60044-1782
(847) 283-0720
(847) 283-0723
Mailing address
655 ROCKLAND RD, STE# 205, LAKE BLUFF, IL 60044-1782
(847) 283-0720
(847) 283-0723
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
IL
Other
Enumeration date
08/22/2007
Last updated
08/22/2007
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