NPI 1013005867

Douglas Joseph Pacaccio, DPM

Practitioner Foot & Ankle Surgery Podiatrist Rockford, IL

Practice location

Address: 5875 E Riverside Blvd, Rockford, IL 61114-4937
Phone: (815) 398-9491
Fax: (815) 381-7498

Registered specialties (3)

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence 016005351 (IL)

Other Podiatrist providers in Illinois →

Podiatrist

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 016005351 (IL)

Foot & Ankle Surgery Podiatrist

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence 2006022045 (MO)

Registry record

NPI: 1013005867
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Oct 2006
Record last updated: 26 Sep 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.