# WEIL PODIATRY OF SAN ANTONIO PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396295010
- **Authorized official:** MISS AMBER VASQUEZ (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (847) 627-4920

## Contact information

- **Practice address:** 1455 E GOLF RD, SUITE 110, DES PLAINES, IL 60016-1250
- **Practice address phone:** (847) 627-4920
- **Practice address fax:** (847) 299-6041
- **Mailing address:** 2425 WEST LOOP S, \#200, HOUSTON, TX 77027-4205
- **Mailing address phone:** (847) 627-4920

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 1350 | TX | Yes |

## Other

- **Enumeration date:** 10/05/2016
- **Last updated:** 10/05/2016