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

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: July 19, 2026.

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.Information from the official NPPES registry record, last updated January 5, 2019.

NPPES Registry Identity

NPI1679957914
Entity TypeOrganization
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. How NPI validation works

★ Primary Specialty

Podiatrist · Foot & Ankle Surgery

Taxonomy 213ES0103X · Podiatric Medicine & Surgery Service Providers

5610 W CERMAK RD UNIT 2, Cicero, IL 60804
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Also on File with NPPES

Other Names1
Pm Podiatry Group (Doing Business As)
Group Practice1
This 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)

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Frequently Asked Questions

What is POTACH-MOON PODIATRY GROUP, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1679957914, enumerated as an "organization" on July 16, 2015.

Where is the provider located?

The provider is located at 5610 W CERMAK RD UNIT 2 CICERO, IL 60804 and the phone number is (708) 780-8661.

What is the provider's specialty?

Podiatrist with taxonomy code 213ES0103X and a focus in Foot & Ankle Surgery.