On-Call Surgical Services,LLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

ON-CALL SURGICAL SERVICES,LLC

Practice address

655 Rockland Rd
Ste# 205
Lake Bluff, IL 60044-1782

Phone

(847) 283-0720

Fax

(847) 283-0723

NPI assigned

Aug 22, 2007

Organization subpart

Yes

Parent organization

SHOWELL SURGICAL SERVICES, P.C.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Ronnell Lavett Showell I, OPA-C/RSA-C

Title

President/Ceo

Phone

(847) 283-0720

Specialties & licenses 1

Addresses

Other names 1

• Lake County Surgical, LLC Former legal business name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187740800000",
    "number": "1063605178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 ROCKLAND RD",
            "address_2": "STE# 205",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600441782",
            "telephone_number": "847-283-0720",
            "fax_number": "847-283-0723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 ROCKLAND RD",
            "address_2": "STE# 205",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600441782",
            "telephone_number": "847-283-0720",
            "fax_number": "847-283-0723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON-CALL SURGICAL SERVICES,LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHOWELL SURGICAL SERVICES, P.C.",
        "enumeration_date": "2007-08-22",
        "last_updated": "2007-08-22",
        "status": "A",
        "authorized_official_last_name": "SHOWELL",
        "authorized_official_first_name": "RONNELL",
        "authorized_official_middle_name": "LAVETT",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "847-283-0720",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "OPA-C/RSA-C"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake County Surgical, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Surgical Physician Assistant in Lake Bluff, IL
• Providers in Lake Bluff, IL by specialty
• Surgical Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.