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Dr. Douglas Joseph Pacaccio, DPM
Foot & Ankle Surgery Podiatrist in Rockford, Illinois
NPI 1013005867

Douglas Joseph Pacaccio is a Foot & Ankle Surgery Podiatrist based in Rockford, IL and is specialized in Foot & Ankle Surgery. Douglas Joseph Pacaccio practices in Rockford, IL and has the professional credentials of DPM. The NPI Number for Douglas Joseph Pacaccio is 1013005867 and holds a License No. 016005351 (Illinois).

The current practice location address for Douglas Joseph Pacaccio is 5875 E Riverside Blvd, Rockford, IL and can be reached out via phone at 815-398-9491 and via fax at 815-381-7498.

Location: 5875 E Riverside Blvd, Rockford, IL, 61114-4937
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013005867
Provider Name
Douglas Joseph Pacaccio
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
5875 E Riverside Blvd, Rockford, IL, 61114-4937
Phone Number
815-398-9491
Fax Number
815-381-7498
Provider Enumeration Date
10/10/2006
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
016005351 05 IL
institution
Provider Business Practice Location Address Details
Address
5875 E Riverside Blvd
City
Rockford
State
Illinois
Zip
61114-4937
Phone Number
815-398-9491
Fax Number
815-381-7498
person
Provider Business Mailing Address Details
Address
5875 E Riverside Blvd
City
Rockford
State
Illinois
Zip
61114-4937
Phone Number
815-398-9491
Fax Number
815-381-7498
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
2006022045 (Missouri)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
016005351 (Illinois)
Definition
Definition to come...
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