Benton-Weil, Wendy

Benton-Weil, Wendy is an individual health care provider with primary practice located at 1660 Feehanville Dr Ste 100 , Mount Prospect IL 60056-6019. She recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is her primary health care specialty. Benton-Weil, Wendy can be contacted via phone (847) 250-9096.

Contact Information

Primary practice address
1660 Feehanville Dr Ste 100 Mount Prospect IL 60056-6019
Phone: (847) 250-9096
Fax: (847) 390-9345
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 016-004772 Illinois
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 016-004772 Illinois

Profile Details

NPI number 1659379246
LBN Legal business name Benton-Weil, Wendy
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Dec 27th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659379246 NPPES
Illinois MEDICAID 016004772
Illinois Other 60000380

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