Organization Active NPI

Weil Podiatry of San Antonio PLLC

  • Foot & Ankle Surgery Podiatrist
  • Des Plaines, IL
National Provider Identifier
1396295010
Registry record updated Oct 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1350 Issued in TX
Legal business name
WEIL PODIATRY OF SAN ANTONIO PLLC
Practice address
1455 E Golf Rd
Suite 110
Des Plaines, IL 60016-1250
Phone
(847) 627-4920
Fax
(847) 299-6041
NPI assigned
Oct 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Miss Amber Vasquez
Title
Credentialing Coordinator
Phone
(847) 627-4920

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 1350 TX Primary

Addresses

Primary practice location

1455 E Golf Rd
Suite 110
Des Plaines, IL 60016-1250

Mailing address

2425 West Loop S
#200
Houston, TX 77027-4205
Phone (847) 627-4920

National Provider Directory

National Provider Directory

Locations

1455 E Golf Rd
Ste 110
Des Plaines, IL 60016
Phone 84739076666205

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1475625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475625600000",
    "number": "1396295010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 WEST LOOP S",
            "address_2": "#200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770274205",
            "telephone_number": "847-627-4920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 E GOLF RD",
            "address_2": "SUITE 110",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161250",
            "telephone_number": "847-627-4920",
            "fax_number": "847-299-6041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEIL PODIATRY OF SAN ANTONIO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-05",
        "last_updated": "2016-10-05",
        "status": "A",
        "authorized_official_last_name": "VASQUEZ",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "847-627-4920",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.