Provider Demographics
NPI:1912797242
Name:WEIL FOOT AND ANKLE INSTITUTE LLC
Entity type:Organization
Organization Name:WEIL FOOT AND ANKLE INSTITUTE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE CHAIRMAN
Authorized Official - Prefix:
Authorized Official - First Name:LOWELL
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:WEIL
Authorized Official - Suffix:JR
Authorized Official - Credentials:DPM
Authorized Official - Phone:847-390-7666
Mailing Address - Street 1:PO BOX 848195
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90084-8195
Mailing Address - Country:US
Mailing Address - Phone:847-390-7666
Mailing Address - Fax:224-220-9345
Practice Address - Street 1:750 FLETCHER DR
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60123-4703
Practice Address - Country:US
Practice Address - Phone:847-741-3127
Practice Address - Fax:224-220-9743
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WEIL FOOT AND ANKLE INSTITUTE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-05-09
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Multi-Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies