VINCENT VACKETTA, DPM
Podiatrist - Foot & Ankle Surgery
Active
Individual
NPI: 1245721612
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Podiatrist - Foot & Ankle Surgery | 213ES0103X | Yes | 016006029 (IL) |
| Orthopaedic Surgery | 207X00000X | No | 016006029 (IL) |
| Orthopaedic Surgery - Foot and Ankle Surgery | 207XX0004X | No | 016006029 (IL) |
| Podiatrist | 213E00000X | No | 016006029 (IL) |
Frequently Asked Questions
NPI 1245721612 is the National Provider Identifier for VINCENT VACKETTA, DPM, a Podiatrist - Foot & Ankle Surgery provider located in Peoria, IL. This NPI was enumerated on May 22, 2018.
VINCENT VACKETTA, DPM practices at 6000 N ALLEN RD, Peoria, IL 61614.
Quick Facts
- NPI
- 1245721612
- Type
- Individual
- Enumerated
- May 22, 2018
- Last Updated
- Dec 26, 2024
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