Organization
ADVANCED FOOT AND ANKLE SURGEONS, INC.
Active
Parent organization
ADVANCED FOOT AND ANKLE SURGEONS, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVANCED FOOT AND ANKLE SURGEONS, INC
Authorized official
DR. DOUGLAS J PACACCIO DPM (PRESIDENT)
(630) 352-3700
Entity
Organization
Contact information
Practice address
215 HILLCREST AVE, SUITE B, YORKVILLE, IL 60560-1366
(630) 352-3700
(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
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016005351
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016005351
—
IL
01
—
1013005867
INDIVIDUAL NPI
IL
Enumeration date
10/29/2009
Last updated
05/08/2015
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