Lake County Surgical, LLC – Surgical Physician Assistant, NPI 1063605178

Lake County Surgical, LLC is a healthcare provider. based in Lake bluff, Illinois. specializing in Surgical Physician Assistant. The NPI Number for Lake County Surgical, LLC is 1063605178

Main info

Organization
Name
Lake County Surgical, LLC
NPI
1063605178
Phone
(847) 283-0720
Address
655 ROCKLAND RD
Authorized Official
MR. RONNELL LAVETT SHOWELL I PRESIDENT/CEO OPA-C/RSA-C
Enumeration Date
22 August 2007
Last Update Date
22 August 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness80
Years active:18State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Lake County Surgical, LLC

  • 655, Rockland Road, Lake Bluff, Lake, Illinois, 60044, United States

    STE# 205

    LAKE BLUFF, IL 600441782

    Phone: (847) 283-0720

    Fax: (847) 283-0723

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60044)

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Reviews

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Frequently asked questions

What NPI should I save for Lake County Surgical, LLC?
Save NPI 1063605178 if you need a stable reference for Lake County Surgical, LLC.
Does this profile mean Lake County Surgical, LLC is currently active?
Yes — Lake County Surgical, LLC appears active in the national provider directory.
What does Lake County Surgical, LLC treat or focus on?
Patients typically see Lake County Surgical, LLC under the specialty Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is Lake County Surgical, LLC's primary listing?
We display Lake Bluff, Illinois because that is what the record indicates for Lake County Surgical, LLC.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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