On-call Surgical Services,llc

NPI 1063605178 - Physician Assistant - 363AS0400X

NPI Details
NPI 1063605178
Enumeration Date 08/22/2007
Last Updated 08/22/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name RONNELL LAVETT RONNELL
Position PRESIDENT/CEO
Phone (847) 283-0720
Fax (847) 283-0723
Practice Location
655 ROCKLAND RD
STE# 205
LAKE BLUFF IL, 60044-1782, US
Phone (847) 283-0720
Fax (847) 283-0723
Business Location
655 ROCKLAND RD
STE# 205
LAKE BLUFF IL, 60044-1782, US
Phone (847) 283-0720
Fax (847) 283-0723
Toxanomy
Taxonomy Code 363AS0400X
License State
License Number
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According to our database, On-call Surgical Services,llc NPI is 1063605178, taxonomy code is 363AS0400X On-call Surgical Services,llc physically located at 655 Rockland Rd, Lake Bluff IL, 60044-1782. NPI Number 1033115704 has the healthcare provider type.

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1063605178 NPI number is provided on an as is basis without warranty of any kind. 1063605178 is maintained by the National Plan & Provider Enumeration System. The contents of On-call Surgical Services,llc are for informational purposes only.