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NPI Code Detail

MEDICARE: DR. WENDY BENTON-WEIL DPM

MEDICARE:  DR. WENDY  BENTON-WEIL  DPM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213ES0103XFoot & Ankle Surgery Podiatrist016-004772IL
2213E00000XPodiatrist016-004772IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
260000380OTHERILBCBS

General Provider Information

NPI Number : 1659379246
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WENDY BENTON-WEIL DPM
Provider Business Mailing Address
First Line : 1660 FEEHANVILLE DR STE 450
Second Line :
City : MOUNT PROSPECT
State : IL
Zip : 60056-6023
Country : US
Telephone Number : 847-390-7666
Fax Number : 847-390-9345
Provider Business Practice Location Address
First Line : 1660 FEEHANVILLE DR STE 100
Second Line :
City : MOUNT PROSPECT
State : IL
Zip : 60056-6019
Country : US
Telephone Number : 847-250-9096
Fax Number : 847-390-9345
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2005
Last Update Date : 12/27/2021

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Directions to “ DR. WENDY BENTON-WEIL DPM” Practice Location

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