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Organization

ELIZABETH PACOCHA DPM PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELIZABETH PACOCHA (PRESIDENT/OWNER)
(847) 398-9999
Entity
Organization

Contact information

Practice address
800 BIESTERFIELD RD STE 4001, ELK GROVE VILLAGE, IL 60007-3371
(847) 398-9999
(866) 988-6323
Mailing address
602 KINGSBRIDGE DR, CAROL STREAM, IL 60188-4320
(847) 398-9999
(866) 988-6323

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016005329
IL
261QP1100X
Podiatric Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1602207
BCBS GRP
IL
01
98144391
BCBS INDIVIDUAL
IL
Enumeration date
12/29/2010
Last updated
05/16/2025
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