Individual
DR. LOWELL SCOTT WEIL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1660 FEEHANVILLE DR STE 450, MOUNT PROSPECT, IL 60056-6023
(847) 390-7666
Mailing address
1660 FEEHANVILLE DR STE 100, MOUNT PROSPECT, IL 60056-6019
(847) 390-7666
(847) 390-9345
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
016-004770
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016004770
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
517522
MEDICARE GROUP NUMBER
IL
01
—
60000380
BCBS
IL
Enumeration date
07/08/2005
Last updated
07/16/2021
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