Individual
ELIZABETH VACCARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1425 N RANDALL RD STE 2-1200, ELGIN, IL 60123-2300
(312) 609-0300
(224) 783-2527
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1298
(847) 390-5900
(847) 390-4757
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209017066
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209017066
STATE LICENSE
IL
Enumeration date
03/01/2018
Last updated
05/06/2025
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