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NPI Code Detail

MEDICARE: WEIL FOOT AND ANKLE INSTITUTE LLC

MEDICARE: WEIL FOOT AND ANKLE INSTITUTE LLC
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 Podiatrist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
160000380OTHERILBCBS

General Provider Information

NPI Number : 1710965314
Entity Type Code : Organization
Provider Name (Legal Business Name) : WEIL FOOT AND ANKLE INSTITUTE LLC
Provider Business Mailing Address
First Line : PO BOX 848195
Second Line :
City : LOS ANGELES
State : CA
Zip : 90084-8195
Country : US
Telephone Number : 847-390-7666
Fax Number : 224-220-9345
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 : 472-509-6298
Fax Number : 224-220-9743
Authorized Official
Title or Position : EXECUTIVE CHAIRMAN
Name : LOWELL SCOTT WEIL JR.
Credential : DPM
Telephone Number : 847-390-7666
Provider Enumeration Date : 01/04/2006
Last Update Date : 07/14/2025

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Directions to “WEIL FOOT AND ANKLE INSTITUTE LLC ” Practice Location

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