| NPI | 1902184716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOWELL SCOTT WEIL CEO 847-390-7666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 174400000X Specialist |
| 213E00000X Podiatrist | |
| Enumeration Date | 2011-07-27 |
| Last Update Date | 2022-03-28 |