Organization Active NPI

Moon's Multi Specialty Clinic, SC

  • Podiatrist
  • Schaumburg, IL
National Provider Identifier
1245208453
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016-004899 Issued in IL
Legal business name
MOON'S MULTI SPECIALTY CLINIC, SC
Practice address
1320 Tower Rd Ste 144
Schaumburg, IL 60173-4309
Phone
(847) 573-1157
Fax
(224) 513-5458
NPI assigned
Mar 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jung H Moon, DPMNPI 1669441689
Title
Owner
Phone
(847) 573-1157

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 016-004899 IL Primary

Addresses

Primary practice location

1320 Tower Rd Ste 144
Schaumburg, IL 60173-4309

Mailing address

1320 Tower Rd
Schaumburg, IL 60173-4309
Phone (847) 573-1157

Other identifiers 1

IdentifierTypeStateIssuer
4932398OtherILBCBSIL

Other names 1

  • Moon's Foot and Ankle Clinic, SC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050228000129 IL Part B Supplier - Clinic/Group Practice 0345293643 Receives reassigned benefits from 1 practitioner
Practice locations: Schaumburg, IL

National Provider Directory

National Provider Directory

Locations

1320 Tower Rd
Ste 144
Schaumburg, IL 60173
Phone (847) 573-1157

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780531200000",
    "number": "1245208453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 TOWER RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734309",
            "telephone_number": "847-573-1157",
            "fax_number": "888-467-4681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 TOWER RD STE 144",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734309",
            "telephone_number": "847-573-1157",
            "fax_number": "224-513-5458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOON'S MULTI SPECIALTY CLINIC, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A",
        "authorized_official_last_name": "MOON",
        "authorized_official_first_name": "JUNG",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-573-1157",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016-004899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSIL",
            "identifier": "4932398",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moon's Foot and Ankle Clinic, SC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.