| NPI | 1710965314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOWELL SCOTT WEIL Executive Chairman 847-390-7666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2025-07-14 |