Individual provider · Type 1 NPI

Vincent Gianni Vacketta, DPM

Foot & Ankle Surgery Podiatrist · Peoria, IL

NPI number 1245721612 Active

Practice location

6000 N Allen Rd
Peoria, IL 61614-3294

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103X016006029 (IL)
Orthopaedic Surgery Physician 207X00000X016006029 (IL)
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X016006029 (IL)
Podiatrist 213E00000X016006029 (IL)

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

54 other providers at this address

Other foot & ankle surgery podiatrist providers in Peoria

See all in Peoria →

About NPI 1245721612

Vincent Gianni Vacketta, DPM's National Provider Identifier is 1245721612, issued on May 22, 2018. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Peoria, IL. The record was last updated on Dec 26, 2024.