| Dr Jennifer Jo Pacaccio, DPM | |
| 
					2180 Oakland Dr, Unit A, Sycamore, IL 60178-3122  | |
| (815) 669-4811 | |
| (815) 986-6062 | 
| Full Name | Dr Jennifer Jo Pacaccio | 
|---|---|
| Gender | Female | 
| Speciality | Podiatrist | 
| Location | 2180 Oakland Dr, Sycamore, Illinois | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1013113265 | NPI | - | NPPES | 
| 016005347 | Medicaid | IL | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 213E00000X | Podiatrist | 016.005347 (Illinois) | Primary | 
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 0103300964 (Virginia) | Secondary | 
| Provider Name | Advanced Foot And Ankle Surgeons, Inc. | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1922230093 PECOS PAC ID: 7416093844 Enrollment ID: O20091015000087  | 
| Provider Name | Northern Illinois Foot & Ankle Specialists, Ltd | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1851702302 PECOS PAC ID: 1355566183 Enrollment ID: O20140710000662  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Jennifer Jo Pacaccio, DPM 2180 Oakland Dr, Unit A, Sycamore, IL 60178-3122 Ph: (815) 669-4811  | Dr Jennifer Jo Pacaccio, DPM 2180 Oakland Dr, Unit A, Sycamore, IL 60178-3122 Ph: (815) 669-4811  | 
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 Of Dekalb Inc Podiatrist Medicare: Not Enrolled in Medicare 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  |