Fox Valley Foot and Ankle Specialist, LTD

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

016003529 Issued in IL

Legal business name

FOX VALLEY FOOT AND ANKLE SPECIALIST, LTD

Practice address

2401 Kaneville Rd Ste 6
Geneva, IL 60134-2577

Phone

(630) 232-1013

Fax

(630) 232-1014

NPI assigned

Dec 10, 2007

Last updated

Jul 8, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark MondulNPI 1104921519

Title

Owner

Phone

(630) 232-1013

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Mark M Mondul, DPM

  • Podiatrist
  • Geneva, IL
  • NPI 1104921519
  Authorized official Same address or phone

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1285817536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 762",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601340762",
            "telephone_number": "630-232-1013",
            "fax_number": "630-232-1014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 KANEVILLE RD STE 6",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342577",
            "telephone_number": "630-232-1013",
            "fax_number": "630-232-1014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOX VALLEY FOOT AND ANKLE SPECIALIST, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-10",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "MONDUL",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-232-1013",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016003529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fox Clinical Services
• Fox River Valley Care at Home, LTD. (Senior Helpers of Aurora)
• Fox Valley Endocrinology, LLC
• Fox Valley Family Physicians
• Fox Valley Family Physicians S.C.
• Fox Valley New You, Inc
• Fox Valley Orthopaedic Associates, PLLC (Fox Valley Orthopaedic Ambulatory Surgical Center)
• Fox Valley Orthopaedic Associates, PLLC
• Fox Valley Orthopaedic Associates, PLLC
• Willemijn Frank

• Foot & Ankle Surgery Podiatrist in Geneva, IL
• Providers in Geneva, IL by specialty
• Foot & Ankle Surgery Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.