Organization · Type 2 NPI
Potach-Moon Podiatry Group, LLC
Foot & Ankle Surgery Podiatrist · Cicero, IL
NPI number
1679957914
Active
Practice location
5610 W Cermak Rd Unit 2
Cicero, IL 60804-2219
Fax (708) 780-9537
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | None listed |
Foot & Ankle Surgery Podiatrist: Definition to come...
Other foot & ankle surgery podiatrist providers in Cicero
About NPI 1679957914
Potach-Moon Podiatry Group, LLC's National Provider Identifier is 1679957914, issued on Jul 16, 2015. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Cicero, IL. The record was last updated on Jan 5, 2019.