Individual provider · Type 1 NPI

Douglas Joseph Pacaccio, DPM

Foot & Ankle Surgery Podiatrist · Rockford, IL

NPI number 1013005867 Active

Practice location

5875 E Riverside Blvd
Rockford, IL 61114-4937

Fax (815) 381-7498

Specialties and licenses

TaxonomyCodeLicense
Podiatrist 213E00000X016005351 (IL)
Foot & Ankle Surgery Podiatrist 213ES0103X2006022045 (MO)
Foot & Ankle Surgery Podiatrist Primary 213ES0103X016005351 (IL)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1013005867

Douglas Joseph Pacaccio, DPM's National Provider Identifier is 1013005867, issued on Oct 10, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Rockford, IL. The record was last updated on Sep 26, 2024.