Vacketta, Vincent Gianni

Vacketta, Vincent Gianni is an individual health care provider with primary practice located at 6000 N Allen Rd , Peoria IL 61614-3294. He recently has 4 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Foot and Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Vacketta, Vincent Gianni can be contacted via phone (309) 691-1400.

Contact Information

Primary practice address
6000 N Allen Rd Peoria IL 61614-3294
Phone: (309) 691-1400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 016006029 Illinois
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 016006029 Illinois
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X 016006029 Illinois
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 016006029 Illinois

Profile Details

NPI number 1245721612
LBN Legal business name Vacketta, Vincent Gianni
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2018
Last updated Dec 26th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers