Emergency Surgical Services of Lake County LLC

Primary specialty

Trauma Surgery PhysicianTaxonomy code 2086S0127X

Legal business name

EMERGENCY SURGICAL SERVICES OF LAKE COUNTY LLC

Practice address

1870 W Winchester Rd
Suite 112
Libertyville, IL 60048-5358

Phone

(224) 513-5239

Fax

(847) 816-7497

NPI assigned

Oct 1, 2009

Organization subpart

No

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

Authorized official

Name

Dr. William Charles Watson, M.D.

Title

President

Phone

(224) 513-5239

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1254355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254355200000",
    "number": "1740514140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1870 W WINCHESTER RD",
            "address_2": "SUITE 112",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485358",
            "telephone_number": "224-513-5239",
            "fax_number": "847-816-7497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1870 W WINCHESTER RD",
            "address_2": "SUITE 112",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485358",
            "telephone_number": "224-513-5239",
            "fax_number": "847-816-7497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGENCY SURGICAL SERVICES OF LAKE COUNTY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-01",
        "last_updated": "2009-10-01",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "224-513-5239",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Trauma Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariam Mahdi El-Baghdadi, M.D.
• Vinise Elackattu, PA
• Elisabeth Av Desapereira,MD,LTD
• Russell Elleven, DMIN, EDD
• George Bernard Elvove, M.D.
• Renee Lee Emery, MS, OTR/L
• Encompass Health Rehabilitation Hospital of Libertyville, LLC
• Lauren Engert, SLP
• ENT Consultants of Lake County
• Adam L Escobedo, APRN

• Trauma Surgery Physician in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Trauma Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2009; 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.