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Individual

JAMES L VACRACOS

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
4647 LINCOLN HWY, MATTESON, IL 60443-2319
(708) 481-4200
(708) 481-3320
Mailing address
9052 PARKSIDE LN, SAINT JOHN, IN 46373-8749
(708) 481-4200
(708) 481-3320

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-002226
IL

Other

Enumeration date
05/24/2006
Last updated
10/11/2018
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