| NPI | 1215765730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOWELL SCOTT WEIL Executive Chairman 847-390-7666 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 213E00000X Podiatrist |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2024-07-25 |
| Last Update Date | 2024-07-25 |