# FOX VALLEY FOOT AND ANKLE SPECIALIST, LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285817536
- **Authorized official:** DR. MARK MONDUL (OWNER)
- **Authorized official phone:** (630) 232-1013

## Contact information

- **Practice address:** 2401 KANEVILLE RD STE 6, GENEVA, IL 60134-2577
- **Practice address phone:** (630) 232-1013
- **Practice address fax:** (630) 232-1014
- **Mailing address:** PO BOX 762, GENEVA, IL 60134-0762
- **Mailing address phone:** (630) 232-1013
- **Mailing address fax:** (630) 232-1014

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 016003529 | IL | Yes |

## Other

- **Enumeration date:** 12/10/2007
- **Last updated:** 07/08/2008