| Organization Name: | ON-CALL SURGICAL SERVICES,LLC |
| NPI Number: | 1063605178 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RONNELL LAVETT SHOWELL (PRESIDENT/CEO) |
| Mailing Address: | 655 Rockland Rd Ste# 205 Lake Bluff |
| State: | IL US |
| Postal Code: | 600441782 |
| Phone Number: | 8472830720 |
| Fax Number: | 8472830723 |
| NPI Enumeration Date: | 08/22/2007 |
| NPI Last Update Date: | 08/22/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |