Individual
LOWELL SCOTT WEIL SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1455 E GOLF RD, SUITE 110, DES PLAINES, IL 60016-1250
(847) 390-7666
(847) 390-9345
Mailing address
1455 E GOLF RD, SUITE 110, DES PLAINES, IL 60016-1250
(847) 390-7666
(847) 390-9345
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
016002469
IL
213ES0000X
Sports Medicine Podiatrist
016002469
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016002469
IL
213ES0131X
Foot Surgery Podiatrist
016002469
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710965314
—
IL
05
—
201255100A
—
IN
01
—
60000380
BCBS
IL
01
—
6039870
CIGNA
IL
Enumeration date
07/08/2005
Last updated
12/31/2018
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