| Advanced Foot And Ankle Surgeons Inc | |
|
2180 Oakland Dr, Unit A, Sycamore, IL 60178-3122 | |
| (815) 669-4811 | |
| (815) 986-6062 |
| Full Name | Advanced Foot And Ankle Surgeons Inc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 2180 Oakland Dr, Sycamore, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922230093 | NPI | - | NPPES |
| 1013113265 | Other | IL | INDIVIDUAL NPI |
| 016005347 | Medicaid | IL | |
| 1013005867 | Other | IL | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 016005351 (Illinois) | Primary |
| Provider Name | Jennifer J Pacaccio |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1013113265 PECOS PAC ID: 4688769250 Enrollment ID: I20070927000905 |
| Provider Name | Douglas J Pacaccio |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1013005867 PECOS PAC ID: 2466533419 Enrollment ID: I20080115000800 |
| Provider Name | Nicholas E Vogelsang |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1184939035 PECOS PAC ID: 8729227657 Enrollment ID: I20130625000369 |
| Provider Name | Thomas S Nordquist |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1023470754 PECOS PAC ID: 1254628290 Enrollment ID: I20171127003254 |
| Provider Name | Christopher Lynn Clement |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1205212537 PECOS PAC ID: 1153672639 Enrollment ID: I20180921002081 |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Foot And Ankle Surgeons Inc 2180 Oakland Dr, Unit A, Sycamore, IL 60178-3122 Ph: (815) 669-4811 | Advanced Foot And Ankle Surgeons Inc 2180 Oakland Dr, Unit A, Sycamore, IL 60178-3122 Ph: (815) 669-4811 |
Dr. Jennifer Jo Pacaccio, D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: 2180 Oakland Dr, Unit A, Sycamore, IL 60178 Phone: 815-669-4811 Fax: 815-986-6062 | |
Thomas S Dwyer, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2111 Midlands Ct, Sycamore, IL 60178 Phone: 815-758-0000 Fax: 815-758-8521 | |
Tina Starkweather Dpm & Associates Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2560 Hauser Ross Dr., Suite 400, Sycamore, IL 60178 Phone: 815-899-3338 Fax: 815-899-3332 | |
Neil B Levin, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1675 Bethany Rd, Suite B, Sycamore, IL 60178 Phone: 815-899-2575 Fax: 815-899-2581 | |
Family Podiatry Podiatrist Medicare: Medicare Enrolled Practice Location: 1675 Bethany Rd, Ste B, Sycamore, IL 60178 Phone: 815-899-2575 Fax: 815-899-2581 | |
Pramod N Patel, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1850 Gateway Dr, Sycamore, IL 60178 Phone: 815-758-8671 Fax: 815-758-1731 | |
Dr. Shane Myles York, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2111 Midlands Ct, Sycamore, IL 60178 Phone: 815-758-0000 Fax: 815-756-7130 |