Dr. Jennifer Jo Pacaccio
Podiatrist Foot & Ankle Surgery
2180 Oakland Dr Unit A
Sycamore
, Illinois 60178-3122
Dr. Jennifer Jo Pacaccio
Podiatrist Foot & Ankle Surgery
2180 Oakland Dr Unit A
Sycamore
, Illinois 60178-3122
(815) 986-6062
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About
Features
Specialties
- Podiatrist
- Foot & Ankle Surgery
Languages spoken
- English
Location
First Address
- Dr. Jennifer Jo Pacaccio
- 2180 Oakland Dr Unit A
- Sycamore, IL
- Zip : 60178-3122
- Fax : (815) 986-6062
- Phone : (815) 669-4811
Second Address
- Dr. Jennifer Jo Pacaccio
- 2180 Oakland Dr Unit A
- Sycamore, IL
- Zip : 60178-3122
- Fax : (815) 986-6062
- Phone : (815) 669-4811
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 016.005347 | IL |
| Y | 222Z00000X | Podiatrist | 016.005347 | IL |
| N | 213ES0103X | Foot & Ankle Surgery | 0103300964 | VA |
National Provider Identifier
| NPI | 1013113265 |
|---|---|
| Provider Name | Dr. Jennifer Jo Pacaccio |
| First Address | Sycamore, IL 60178-3122 |
| Second Address | Sycamore, IL 60178-3122 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/06/2007 |
| Last Update Date | 08/05/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 016005347 | (05) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.