On-Call Surgical Services,llc

NPI #1063605178 in Lake Bluff, Illinois

Provider Information

NPI Number
1063605178
Entity Type
Organization
Organization Name
On-Call Surgical Services,llc
Subpart
Yes (part of a larger organization)
Parent Organization
SHOWELL SURGICAL SERVICES, P.C.
Primary Specialty
Physician Assistant - Surgical
Enumeration Date
Aug 22, 2007
Last Updated
Aug 22, 2007

Practice Location

Address
655 ROCKLAND RD
Address 2
STE# 205
ZIP Code
60044-1782
Phone
(847) 283-0720

Authorized Official

Name
MR. RONNELL LAVETT SHOWELL I, OPA-C/RSA-C
Title
PRESIDENT/CEO
Phone
(847) 283-0720

Specialties & Taxonomy Codes

Specialty
Physician Assistant - SurgicalSurgical

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