Doctor Name: | DR. ELIZABETH PACOCHA |
NPI Number: | 1023297132 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.P.M. |
License Number: | 016.005329 |
Business Practice Address: | 125 E Central Rd Arlington Heights, IL - 600052649 |
Business Phone Number: | 8473989999 |
Business Fax Number: | 8472551785 |
Mailing Address: | 125 E Central Rd, ARLINGTON HEIGHTS |
State: | IL |
Postal Code: | 600052649 |
Phone Number: | 8473989999 |
Fax Number: | 8472551785 |
NPI Enumeration Date: | 10/25/2007 |
NPI Last Update Date: | 12/13/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 016.005329 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |