institution
Potach-moon Podiatry Group, Llc
Foot & Ankle Surgery Podiatrist in Cicero, Illinois
NPI 1679957914

Potach-moon Podiatry Group, Llc is a Foot & Ankle Surgery Podiatrist based in Cicero, IL and is specialized in Foot & Ankle Surgery. Potach-moon Podiatry Group, Llc practices in Cicero, IL. The NPI Number for Potach-moon Podiatry Group, Llc is 1679957914 and holds a License No. (Illinois).

The current practice location address for Potach-moon Podiatry Group, Llc is 5610 W Cermak Rd Unit 2, Cicero, IL and can be reached out via phone at 708-780-8661 and via fax at 708-780-9537.

Location: 5610 W Cermak Rd Unit 2, Cicero, IL, 60804-2219
institution
Provider Profile Details
NPI Number
1679957914
Provider Name
Potach-moon Podiatry Group, Llc
Credential
Provider Entity Type
Organization
Address
5610 W Cermak Rd Unit 2, Cicero, IL, 60804-2219
Phone Number
708-780-8661
Fax Number
708-780-9537
Provider Enumeration Date
07/16/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5610 W Cermak Rd Unit 2
City
State
Zip
60804-2219
Phone Number
708-780-8661
Fax Number
708-780-9537
person
Provider Business Mailing Address Details
Address
5610 W Cermak Rd Unit 2
City
State
Zip
60804-2219
Phone Number
708-780-8661
Fax Number
708-780-9537
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
()
Definition
Definition to come...
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