Provider Demographics
NPI:1215368287
Name:DARYL B. WEVER CORP
Entity Type:Organization
Organization Name:DARYL B. WEVER CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOOT AND ANKLE SPECIALIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DARYL
Authorized Official - Middle Name:B
Authorized Official - Last Name:WEVER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:231-690-6828
Mailing Address - Street 1:455 S ROSELLE RD STE 101
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60193-2973
Mailing Address - Country:US
Mailing Address - Phone:231-690-6828
Mailing Address - Fax:
Practice Address - Street 1:455 S ROSELLE RD STE 101
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60193
Practice Address - Country:US
Practice Address - Phone:231-690-6828
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-02
Last Update Date:2018-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty