Healthcare Provider Details

I. General information

NPI: 1316089378
Provider Name (Legal Business Name): WILLIAM A. MOHS DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/13/2007
Last Update Date: 03/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1760 W. ALGONQUIN RD.
HOFFMAN ESTATES IL
60192-1573
US

IV. Provider business mailing address

1760 W. ALGONQUIN RD.
HOFFMAN ESTATES IL
60192-1573
US

V. Phone/Fax

Practice location:
  • Phone: 847-991-3111
  • Fax: 847-991-1232
Mailing address:
  • Phone: 847-991-3111
  • Fax: 847-991-1232

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License Number16-002796
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code213ER0200X
TaxonomyRadiology Podiatrist
License Number16-002796
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code213ES0000X
TaxonomySports Medicine Podiatrist
License Number16-002796
License Number StateIL
# 4
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number16-002796
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: