Healthcare Provider Details

I. General information

NPI: 1942474036
Provider Name (Legal Business Name): FOREST VIEW PODIATRY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2008
Last Update Date: 12/11/2009
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:
Mailing address:
  • Phone: 847-991-3111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213ES0000X
TaxonomySports Medicine Podiatrist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number16-002796
License Number StateIL

VIII. Authorized Official

Name: DR. WILLIAM ALBERT MOHS
Title or Position: PODIATRIST
Credential: DPM FACFAS
Phone: 847-991-3111