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Organization

WEIL PODIATRY OF NEW YORK LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LOWELL WEIL JR. DPM (CEO)
(847) 390-7666
Entity
Organization

Contact information

Practice address
4151 BROADWAY STE 4159B, NEW YORK, NY 10033-3780
(917) 242-4169
(847) 390-9345
Mailing address
1455 E GOLF RD, DES PLAINES, IL 60016-1250
(847) 390-7666
(847) 390-9345

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
NY
213ES0103X
Foot & Ankle Surgery Podiatrist
NY

Other

Enumeration date
11/13/2015
Last updated
04/01/2016
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