Organization
DR.MOONWALK, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUNG H MOON DPM (PRESIDENT)
(888) 592-9255
Entity
Organization
Contact information
Practice address
270 CENTER DR, SUITE 120, VERNON HILLS, IL 60061-1564
(888) 592-9255
(888) 467-4681
Mailing address
270 CENTER DR, SUITE 120, VERNON HILLS, IL 60061-1564
(888) 592-9255
(888) 467-4681
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/08/2010
Last updated
01/20/2012
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