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

Andrew Moulton

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1164043626

Andrew Moulton is a Podiatry in North Chicago, Illinois. Graduated from R Franklin University of Med & SCI/Chicago Medical School in 2021, 5 years ago. Practices with Spokane Foot Clinic P S, a 4-clinician group and accepts Medicare assignment.

Years since qualifying
5
Trained at
R Franklin University of Med & SCI/Chicago Medical School
In the registry since
2020
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Practice location Address checks out

3333 Green Bay Rd
North Chicago, IL 60064-3037
Phone: (360) 930-2912
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1164043626
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 6, 2020
Last updated in NPPESMay 6, 2020
Certification dateMay 6, 2020
Mailing address3333 Green Bay Rd, North Chicago, IL 60064-3037

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolR FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL
Graduated 2021 (5 years in practice)
Group practice Spokane Foot Clinic P S — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in North Chicago