NPIMap

Organization Active NPI

Foot and Ankle Surgery Facility, LTD

  • Ambulatory Surgical Clinic/Center
  • Des Plaines, IL
National Provider Identifier
1619981479
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
7001803 Issued in IL
Legal business name
FOOT AND ANKLE SURGERY FACILITY, LTD
Practice address
1455 E Golf Rd
Des Plaines, IL 60016-1250
Phone
(847) 390-7666
Fax
(847) 390-9345
NPI assigned
Jul 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2016

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

Authorized official

Name
Dr. Lowell Scott Weil Sr., DPM
Title
Ceo
Phone
(847) 390-7666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 7001803 IL Primary

Addresses

Primary practice location

1455 E Golf Rd
Des Plaines, IL 60016-1250

Mailing address

PO Box 924
Glenview, IL 60025-0924
Phone (847) 390-7666

Other identifiers 1

IdentifierTypeStateIssuer
1501OtherILBCBS

Other names 1

  • Regenerative Surgery Center Doing business as

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1455 E Golf Rd
Ste 131
Des Plaines, IL 60016
Phone (847) 541-6521

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481500800000",
    "number": "1619981479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 924",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600250924",
            "telephone_number": "847-390-7666",
            "fax_number": "847-390-9345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 E GOLF RD",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161250",
            "telephone_number": "847-390-7666",
            "fax_number": "847-390-9345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND ANKLE SURGERY FACILITY, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2016-12-12",
        "status": "A",
        "authorized_official_last_name": "WEIL",
        "authorized_official_first_name": "LOWELL",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-390-7666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "IL",
            "license": "7001803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1501",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regenerative Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 12, 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.