| NPI | 1245208453 |
|---|---|
| Former Legal Business Name | MOON'S FOOT AND ANKLE CLINIC, SC |
| Entity Type | Organization |
| Authorized Contact | JUNG H MOON Owner 847-573-1157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: IL 016-004899) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2024-07-05 |