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General NPI Number Information
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NPI Number | 1043362189
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Entity Type | Individual
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Provider Name | ROBERT A WEIL DPM
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Gender | Male
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 1617 OGDEN AVE STE 6
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City | LISLE
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State | IL
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Zip | 60532-1980
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Country | US
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Telephone | 630-898-3505
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Fax | 630-559-8889
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Provider Business Mailing Address
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Address Line | 95 TRADE ST STE 102
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City | AURORA
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State | IL
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Zip | 60504
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Country | US
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Telephone | 630-898-3505
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Fax | 630-898-9378
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 016002670
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License Number State | IL
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