| Doctor Name: | DARYL B WEVER |
| NPI Number: | 1386807212 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | PHYSICIAN |
| Business Practice Address: | 209 N Walnut St Itasca, IL - 601431730 |
| Business Phone Number: | 6307732478 |
| Business Fax Number: | |
| Mailing Address: | 209 N Walnut St, ITASCA |
| State: | IL |
| Postal Code: | 601431730 |
| Phone Number: | 6307732478 |
| Fax Number: | |
| NPI Enumeration Date: | 07/10/2008 |
| NPI Last Update Date: | 12/28/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | PHYSICIAN |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |