Moon's Multi Specialty Clinic, Sc | |
270 Center Dr, Suite 120, Vernon Hills, IL 60061-1564 | |
(847) 573-1157 | |
(224) 513-5458 |
Full Name | Moon's Multi Specialty Clinic, Sc |
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Type | Facility |
Speciality | Podiatrist |
Location | 270 Center Dr, Vernon Hills, Illinois |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245208453 | NPI | - | NPPES |
4932398 | Other | IL | BCBSIL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 016-004899 (Illinois) | Primary |
Provider Name | Jung H Moon |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1669441689 PECOS PAC ID: 8426001728 Enrollment ID: I20050309000369 |
Mailing Address | Practice Location Address |
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Moon's Multi Specialty Clinic, Sc 270 Center Dr, Suite 120, Vernon Hills, IL 60061-1564 Ph: (847) 573-1157 | Moon's Multi Specialty Clinic, Sc 270 Center Dr, Suite 120, Vernon Hills, IL 60061-1564 Ph: (847) 573-1157 |
Drs. Mattana And Kwiecinski Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 250 Center Dr, Suite 201, Vernon Hills, IL 60061 Phone: 847-816-4711 Fax: 847-247-1158 | |
Jung Moon, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 270 E Center Dr, Suite 120, Vernon Hills, IL 60061 Phone: 847-573-1157 Fax: 224-513-5458 |