Zachary Moody

NPI 1700288446 - Podiatrist - 213E00000X

NPI Details
NPI 1700288446
Gender Male
Enumeration Date 09/25/2014
Last Updated 08/03/2015
Entity Type Individual
Active Over 3 years ago
Practice Location
900 OGDEN AVE 311
DOWNERS GROVE IL, 60515-2829, US
Phone (773) 725-2953
Fax
Business Location
900 OGDEN AVE 311
DOWNERS GROVE IL, 60515-2829, US
Phone (773) 725-2953
Fax
Toxanomy
Taxonomy Code 213E00000X
License State Illinois
License Number 016005627
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According to our database, Zachary Moody NPI is 1700288446, taxonomy code is 213E00000X and license number is 016005627, license state is located at Illinois. Zachary Moody physically located at 900 Ogden Ave 311, Downers Grove IL, 60515-2829. NPI Number Zachary Moody has the Individual type.

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1700288446 NPI number is provided on an as is basis without warranty of any kind. 1700288446 is maintained by the National Plan & Provider Enumeration System. The contents of Zachary Moody are for informational purposes only.