# VINCENT GIANNI VACKETTA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1245721612
- **Gender:** Man
- **Credential:** DPM

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 016006029 | IL | — |
| 207XX0004X | Orthopaedic Foot and Ankle Surgery Physician | 016006029 | IL | — |
| 213E00000X | Podiatrist | 016006029 | IL | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 016006029 | IL | Yes |

## Other

- **Enumeration date:** 05/22/2018
- **Last updated:** 12/26/2024