Organization
MIDWEST PODIATRY SERVICES LTD
Active
Parent organization
WEIL FOOT AND ANKLE INSTITUTE LLC
Other names
Weil Foot and Ankle Institute LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
WEIL FOOT AND ANKLE INSTITUTE LLC
Authorized official
DR. LOWELL WEIL, JR. DPM (CEO)
(847) 390-7666
Entity
Organization
Contact information
Practice address
610 S MAPLE AVE, SUITE 2550, OAK PARK, IL 60304
(847) 390-7666
(847) 390-9345
Mailing address
1660 FEEHANVILLE DR STE 450, MOUNT PROSPECT, IL 60056-6023
(847) 250-9629
(847) 390-9345
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60015152
BCBS OF IL PROVIDER ID
IL
Enumeration date
03/30/2007
Last updated
06/15/2022
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