Organization
FOREST VIEW PODIATRY CENTER
Active
Other names
William A. Mohs DPM
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM ALBERT MOHS DPM FACFAS (PODIATRIST)
(847) 991-3111
Entity
Organization
Contact information
Practice address
1760 W ALGONQUIN RD, HOFFMAN ESTATES, IL 60192-1573
(847) 991-3111
Mailing address
1760 W ALGONQUIN RD, HOFFMAN ESTATES, IL 60192-1573
(847) 991-3111
Taxonomy
Speciality
Code
Description
License number
State
213ES0000X
Sports Medicine Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
16-002796
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171289
MEDICARE NUMBER
IL
01
—
364130066
IPA TAX ID
IL
01
—
MOH002335
IPA - ASSOC. FOOT & ANKLE
IL
Enumeration date
04/18/2008
Last updated
12/11/2009
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