Individual
DR. JENNIFER JO PACACCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
2180 OAKLAND DR, UNIT A, SYCAMORE, IL 60178-3122
(815) 669-4811
(815) 986-6062
Mailing address
2180 OAKLAND DR, UNIT A, SYCAMORE, IL 60178-3122
(815) 669-4811
(815) 986-6062
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016.005347
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
0103300964
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016005347
—
IL
Enumeration date
06/25/2007
Last updated
05/08/2015
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