Search › Illinois › 213ES0103X
Vincent Vacketta, DPM
NPI 1245721612 · on the registry since 2018
Practice
- Address
- 6000 N Allen Rd
Peoria, IL 61614 - Phone
- (309) 691-1400
- Organisation at this address
- Midwest Orthopaedic Center S C
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 82
Registry record
- Primary taxonomy
- 213ES0103X
213ES0103X
- Also registered as
- 207X00000X
207XX0004X
213E00000X - Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-12-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois