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Dr. Jennifer Jo Pacaccio

Podiatrist Foot & Ankle Surgery

2180 Oakland Dr Unit A
Sycamore , Illinois 60178-3122

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Dr. Jennifer Jo Pacaccio

Podiatrist Foot & Ankle Surgery

2180 Oakland Dr Unit A
Sycamore , Illinois 60178-3122

(815) 986-6062

Write a Review Save Call

Dr. Jennifer Jo Pacaccio

Podiatrist Foot & Ankle Surgery

2180 Oakland Dr Unit A
Sycamore , Illinois 60178-3122

(815) 986-6062 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Podiatrist
  • Foot & Ankle Surgery

Languages spoken

  • English

Location

2180 Oakland Dr Unit A Sycamore , Illinois 60178-3122

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

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FAQs


Where did Dr. Jennifer Jo Pacaccio attend graduate school?

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Where did Dr. Jennifer Jo Pacaccio do her residency?

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Where did Dr. Jennifer Jo Pacaccio do her fellowship?

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Is Dr. Jennifer Jo Pacaccio board certified?

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What type of doctor is Dr. Jennifer Jo Pacaccio

Podiatrist

In what state does Dr. Jennifer Jo Pacaccio practice in?

Illinois

Where is Dr. Jennifer Jo Pacaccio ’s practice located?

2180 Oakland Dr Unit A , Sycamore, Illinois, 60178-3122

What is Dr. Jennifer Jo Pacaccio ’s gender?

Female

Is Dr. Jennifer Jo Pacaccio a sole practitioner?

No

Is Dr. Jennifer Jo Pacaccio accepting new patients?

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What languages does Dr. Jennifer Jo Pacaccio speak?

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Does Dr. Jennifer Jo Pacaccio accept insurance?

Yes, Dr. Jennifer Jo Pacaccio accepts insurance

Does Dr. Jennifer Jo Pacaccio offers telemedicine?

Dr. Jennifer Jo Pacaccio has not indicated if she offers telemedicine

What is Dr. Jennifer Jo Pacaccio ’s professional license number?

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What is Dr. Jennifer Jo Pacaccio ’s NPI number?

1013113265

Does Dr. Jennifer Jo Pacaccio have any license restrictions?

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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)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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