Organization
FOOT AND ANKLE SURGERY FACILITY, LTD
Active
Other names
Regenerative Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOWELL SCOTT WEIL SR. DPM (CEO)
(847) 390-7666
Entity
Organization
Contact information
Practice address
1455 E GOLF RD, DES PLAINES, IL 60016-1250
(847) 390-7666
(847) 390-9345
Mailing address
PO BOX 924, GLENVIEW, IL 60025-0924
(847) 390-7666
(847) 390-9345
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
7001803
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1501
BCBS
IL
Enumeration date
07/28/2006
Last updated
12/12/2016
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