Individual
EUGENE D VACCARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
75 E QUEENWOOD RD, MORTON, IL 61550-2985
(309) 263-5565
(309) 263-9336
Mailing address
4603 S KING ARTHUR CT, MAPLETON, IL 61547-9549
(309) 263-5565
(309) 263-9336
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Enumeration date
08/17/2006
Last updated
07/08/2007
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