| NPI | 1457725426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOWELL WEIL CEO 847-390-7666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 213ES0103X Podiatrist Foot & Ankle Surgery |
| Enumeration Date | 2015-11-13 |
| Last Update Date | 2016-04-01 |