# ADVANCED FOOT AND ANKLE SURGEONS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ADVANCED FOOT AND ANKLE SURGEONS, INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1528394343
- **Legal business name:** ADVANCED FOOT AND ANKLE SURGEONS, INC
- **Authorized official:** DR. DOUGLAS J PACACCIO DPM (PRESIDENT)
- **Authorized official phone:** (630) 352-3700

## Contact information

- **Practice address:** 215 HILLCREST AVE, SUITE B, YORKVILLE, IL 60560-1366
- **Practice address phone:** (630) 352-3700
- **Practice address fax:** (815) 986-6062
- **Mailing address:** 2180 OAKLAND DR, UNIT A, SYCAMORE, IL 60178-3122
- **Mailing address phone:** (815) 669-4811
- **Mailing address fax:** (815) 986-6062

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 016005351 | IL | Yes |

## Other

- **Enumeration date:** 10/29/2009
- **Last updated:** 05/08/2015