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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

VINCENT GIANNI VACKETTA, DPM

Active

VINCENT GIANNI VACKETTA, DPM is a Foot & Ankle Surgery Podiatrist healthcare provider located in PEORIA, Illinois. NPI 1245721612 is currently active in the NPPES registry. Verify at CMS.

Foot & Ankle Surgery Podiatrist · PEORIA, IL

Registration Details

NPI Number
1245721612
Provider Type
Individual
Gender
Male
NPI Issued
May 22, 2018 (8.2061190461905 yrs)
Last Updated
Dec 26, 2024
Licenses
016006029 (IL)
016006029 (IL)
016006029 (IL)
016006029 (IL)

Practice Information

Address
6000 N ALLEN RD
PEORIA, IL, 616143294
Browse IL providers · Browse ZIP 61614
Phone
3096911400
Primary Specialty
Foot & Ankle Surgery Podiatrist
213ES0103X
Additional Specialty
Orthopaedic Surgery
Additional Specialty
Sports Medicine (Orthopaedic)
Additional Specialty
Podiatrist

Other Foot & Ankle Surgery Podiatrist Providers in PEORIA, IL

Name Credential NPI
DR. CURTIS L WARD DPM 1114926748
DR. ANTHONY V DECEANNE DPM 1083613293
DR. DONALD JOE SHELLER DPM 1942270434
DR. ABIGAIL ALAYNE MAHONEY DPM 1710996103
DR. ERNEST A NWANI D.P.M. 1679620876
DR. FAHED NAZEM ELCHAMI DPM 1013300839
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.