Individual provider Active NPI

Wendy Benton-Weil, DPM

  • Podiatrist
  • Mount Prospect, IL
National Provider Identifier
1659379246
Registry record updated Dec 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016-004772 Issued in IL
Practice address
1660 Feehanville Dr Ste 100
Mount Prospect, IL 60056-6019
Phone
(847) 250-9096
Fax
(847) 390-9345
NPI assigned
Jul 8, 2005
Last updated
Dec 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 016-004772 IL Primary
Foot & Ankle Surgery Podiatrist 213ES0103X 016-004772 IL

Addresses

Primary practice location

1660 Feehanville Dr Ste 100
Mount Prospect, IL 60056-6019

Mailing address

1660 Feehanville Dr Ste 450
Mount Prospect, IL 60056-6023
Phone (847) 390-7666

Other practice location 1

1900 Hollister Dr Ste 160
Libertyville, IL 60048-5227
Phone (847) 250-9096

Other identifiers 2

IdentifierTypeStateIssuer
60000380OtherILBCBS
016004772MedicaidIL

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address wbw@weil.emadirect.md Direct
Direct Messaging Address wbw@weil.emadirect.md Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050921000773 IL Practitioner - Podiatry 6608867122 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1660 Feehanville Dr
Suite 100
Mount Prospect, IL 60056-6019
Phone 84739076666205

Merit-based Incentive Payment System (MIPS)

Final score
71.62 of 100Reported as individual
Quality
48.94
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue119
Removal or shaving of skin growth32
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016-004772ILMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Weil Foot and Ankle Institute LLC Current Accepting new patients
Weil Foot and Ankle Institute LLC Podiatrist CurrentSince Oct 1, 1996 Accepting new patients
Weil Foot and Ankle Institute LLC Podiatrist CurrentSince Oct 1, 1996 Accepting new patients
Weil Foot & Ankle Institute Past Accepting new patients

Locations

2101 Waukegan Rd
Ste 203
Bannockburn, IL 60015
Phone 8473907666 ext. 6239

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

1900 Hollister Dr
Ste 160
Libertyville, IL 60048
Phone (847) 772-2204

1660 Feehanville Dr
Ste 100
Mt Prospect, IL 60056
Phone (847) 627-4924

1660 Feehanville Dr
Ste 450
Mt Prospect, IL 60056
Phone (847) 250-9629

Interoperability endpoints

  • Direct secure messaging: wbw@weil.emadirect.md

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1659379246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 FEEHANVILLE DR STE 450",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600566023",
            "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": "1660 FEEHANVILLE DR STE 100",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600566019",
            "telephone_number": "847-250-9096",
            "fax_number": "847-390-9345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Hollister Dr Ste 160",
            "address_purpose": "LOCATION",
            "city": "Libertyville",
            "state": "IL",
            "postal_code": "600485227",
            "country_code": "US",
            "telephone_number": "847-250-9096",
            "fax_number": "847-390-9345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENTON-WEIL",
        "first_name": "WENDY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-08",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016-004772",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016-004772",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "60000380",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016004772",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wbw@weil.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "Weil",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1900 Hollister Dr Ste 160",
            "city": "Libertyville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600485227",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wbw@weil.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "Weil",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1660 Feehanville Dr Ste 100",
            "city": "Mount Prospect",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600566019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mount Prospect, IL

Sources for this page

Verify at the official NPI Registry.