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General NPI Number Information
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NPI Number | 1770620304
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Entity Type | Organization
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Legal Business Name | FREDERICK M. WEIL, DPM
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 02/08/2008
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Provider Practice Location Address
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Address Line | 1585 BARRINGTON RD SUITE 503
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City | HOFFMAN ESTATES
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State | IL
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Zip | 60194-1090
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Country | US
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Telephone | 847-310-8100
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Fax | 847-310-8156
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Provider Business Mailing Address
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Address Line | 1585 N BARRINGTON RD SUITE 503
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City | HOFFMAN ESTATES
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State | IL
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Zip | 60169-5020
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Country | US
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Telephone | 847-310-8100
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Fax | 847-310-8156
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Authorized Official
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Title or Position | OWNER
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Name | DR. FREDERICK M WEIL
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Credential | DPM
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Telephone | 847-310-8100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 016002559
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License Number State | IL
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