| Potach-moon Podiatry Group, Llc | |
|
5610 W Cermak Rd Unit 2, Cicero, IL 60804-2219 | |
| (708) 780-8661 | |
| (708) 780-9537 |
| Full Name | Potach-moon Podiatry Group, Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 5610 W Cermak Rd Unit 2, Cicero, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679957914 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
| Provider Name | Luis E Mendoza |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1306887328 PECOS PAC ID: 3375448327 Enrollment ID: I20031205000304 |
| Provider Name | David B Hiltzik |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1235238155 PECOS PAC ID: 9739084781 Enrollment ID: I20031205000335 |
| Provider Name | Tony R Perez |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1477587277 PECOS PAC ID: 6709962111 Enrollment ID: I20080326000369 |
| Provider Name | Sydney K Yau |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1609009646 PECOS PAC ID: 2769659812 Enrollment ID: I20161205001717 |
| Mailing Address | Practice Location Address |
|---|---|
| Potach-moon Podiatry Group, Llc 5610 W Cermak Rd Unit 2, Cicero, IL 60804-2219 Ph: (708) 780-8661 | Potach-moon Podiatry Group, Llc 5610 W Cermak Rd Unit 2, Cicero, IL 60804-2219 Ph: (708) 780-8661 |
Luis E Mendoza, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 5610 W Cermak Rd, Cicero, IL 60804 Phone: 708-780-8661 Fax: 708-231-9818 | |
All Family Foot And Ankle Ltd Podiatrist Medicare: Medicare Enrolled Practice Location: 2124 S Austin Blvd, Cicero, IL 60804 Phone: 708-863-5376 Fax: 708-863-5375 | |
Familymed Centers Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 5700 W Cermak Rd, Cicero, IL 60804 Phone: 708-863-6166 | |
Dr. Vittorio Caterino, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 5700 W Cermak Rd, Cicero, IL 60804 Phone: 708-863-6166 | |
Luis E. Mendoza Ltd Podiatrist Medicare: Medicare Enrolled Practice Location: 5610 W Cermak Rd, Unit 2, Cicero, IL 60804 Phone: 708-780-8661 Fax: 708-780-9537 | |
Dr. Laura M Lebeau, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2124 S Austin Blvd, Cicero, IL 60804 Phone: 708-863-5376 Fax: 708-863-5375 |