Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Potach-Moon Podiatry Group, LLC

Organization Foot & Ankle Surgery Podiatrist · NPI 1679957914

Potach-Moon Podiatry Group, LLC is a Foot & Ankle Surgery Podiatrist in Cicero, Illinois. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5610 W Cermak Rd Unit 2
Cicero, IL 60804-2219
Phone: (708) 780-8661
Fax: (708) 780-9537
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X

Record details

NPI number1679957914
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Luis Mendoza — President · (708) 780-8661
Other names Pm Podiatry Group; Pm Podiatry Group
NPI enumeratedJuly 16, 2015
Last updated in NPPESJanuary 5, 2019
Mailing address5610 W Cermak Rd Unit 2, Cicero, IL 60804-2219

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