PM PODIATRY GROUP
NPI 1679957914
Podiatrist - Foot & Ankle Surgery in Cicero, IL

Q: What is Potach-Moon Podiatry Group, LLC's NPI number?

The NPI number for Potach-Moon Podiatry Group, LLC is 1679957914. It was assigned to this organization in the NPPES registry on July 16, 2015. The provider is doing business as Pm Podiatry Group.

Q: What is Potach-Moon Podiatry Group, LLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Active since July 16, 2015

5610 W CERMAK RD UNIT 2, CICERO, IL 60804(708) 780-8661(708) 780-9537 Get Directions Write a Review

NPPES record last updated: January 5, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Pm Podiatry Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PM PODIATRY GROUP (NPI 1679957914) is a healthcare organization registered as a foot & ankle surgery in Cicero, Illinois and active in the NPI registry since July 2015. The organization lists Luis E Mendoza, President, as its authorized official.

NPPES Registry Identity

NPI1679957914

Entity TypeOrganization

Primary Taxonomy213ES0103X

Legal Business NamePOTACH-MOON PODIATRY GROUP, LLC

Location Address5610 W CERMAK RD UNIT 2Cicero, IL 60804-2219

Mailing Address5610 W Cermak Rd Unit 2Cicero, IL 60804-2219 · (708) 780-8661 · Fax (708) 780-9537

Phone(708) 780-8661

Fax(708) 780-9537

Organization SubpartNo

Authorized OfficialLuis E MendozaPresident · (708) 780-8661

Enumeration DateJuly 16, 2015

Last NPPES UpdateJanuary 5, 2019

✔ NPI 1679957914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

5610 W CERMAK RD UNIT 2, Cicero, IL 60804

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Other Names 1

Doing Business AsPm Podiatry Group

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Potach-Moon Podiatry Group, LLC's NPI number?

The NPI number for Potach-Moon Podiatry Group, LLC is 1679957914. It was assigned to this organization in the NPPES registry on July 16, 2015. The provider is doing business as Pm Podiatry Group.

Where is Potach-Moon Podiatry Group, LLC located?

Potach-Moon Podiatry Group, LLC is located at 5610 W Cermak Rd Unit 2, Cicero, IL 60804. The listed phone number is (708) 780-8661.

What is Potach-Moon Podiatry Group, LLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Potach-Moon Podiatry Group, LLC was last updated on January 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.