# PHILLIP D. NARCISSI DPM S.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mokena Foot and Ankle Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588830913
- **Authorized official:** DR. PHILLIP DAVID NARCISSI (OWNER)
- **Authorized official phone:** (708) 479-0790

## Contact information

- **Practice address:** 19841 WOLF RD, MOKENA, IL 60448-1315
- **Practice address phone:** (708) 479-0790
- **Practice address fax:** (708) 479-0792
- **Mailing address:** 19841 WOLF RD, MOKENA, IL 60448-1315
- **Mailing address phone:** (708) 479-0790

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 016004628 | IL | Yes |

## Other

- **Enumeration date:** 05/06/2008
- **Last updated:** 12/23/2021